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Terms in this set (10)
1. TCAs with dementia
2. TCAs with glaucoma
3. TCAs with cardiac conductive abnormalities
4. TCAs with constipation
5. TCAs with an opitate or CCI
6. TCAs with prostatism or history of urinary retention.
7. Long-term long acting BZDs/those with long acting metabolites.
8. Long-term neuroleptics as long term antipsychotics
9. Long term neuroleptics with parkinsonism.
10. Phenothiazines in pts with epilepsy
11. Anticholinergics to treat extrapyramidal side effects of neuroleptics.
12. SSRIs with a history of significant hyponatraemia.
13. Prolonged use of 1st gen antihistamines (>1 week)
1. Glibenclamide or chlorpromide with T2DM.
2. Beta blockers with DM and frequent hypos.
3. Oestrogens with Hx of breast cancer or VTE.
4. Oestrogens without progesterone in patients with an intact uterus.
1. Digoxin >125ug/day with renal impairment.
2. Loop diuretics for dependent ankle oedema only.
3. Loop diuretics as 1st line monotherpay for HTN.
4. Thiazides with a Hx of gout
5. Non-cardioselective beta blockers in COPD.
6. Diltiazem or verapamil with NYHA class III or IV heart failure.
7. CCIs with chronic constipation.
8. Use of aspirin + warfarin without stomach protection.
9. Dipyridamole as monotherapy for cardiovascular prevention.
10. Aspirin + PMH of ulcer disease without stomach protection.
11. Aspirin at a dose >150mg/day.
1. Theophylline as monotherapy for COPD.
2. Systemic corticosteroids insteads of ICS for maintenance in moderate-severe COPD.
3. Nebulised ipratropium with glaucoma.
1. Diphenoxylate, loperamine or codeine phosphate for treatment of severe infective gastroenteritis/diarrhoea of unknown cause.
2. Prochlorperazine or metaclopramide with parkinsonism.
3. PPI for peptic ulcer disease at full therapeutic dose >8 weeks.
4. Anticholinergic, antispasmodic drugs with chronic constipation.
1. Bladder antimuscarinics with dementia
2. Bladder antimuscarinics with chronic glaucoma
3. Bladder antimuscarinics with chronic constipation.
4. Bladder antimuscarinics with chronic prostatism.
5. Alpha blockers in males with frequent incontinence.
6. Alpha blockers with long term catheter in situ.
1. NSAIDs with Hx of PUD or GI bleeding unless on stomach protection.
2. NSAIDs with moderate-severe hypertension
3. NSAIDs with heart failure.
4. Long-term use of NSAIDs for mild joint pain in osteoarthritis.
5. Warfarin and NSAIDs together.
6. NSAIDs with chronic renal failure.
7. Long term corticosteroids as monotherapy for rheumatoid arthritis or osteroarthritis.
8. Long-term NSAIDs or colchine for chronic treatment of gout where there is no contraindication to allopurinol.
3. First gen antihistamines
4. Vasodilators in those with psersitent postural hypotension.
5. Long term opiates in those with recurrent falls.
1. Use of long term powerful opiates.
2. Regular opiates for more than 2 weeks in those with chronic constipation without concurrent use of laxatives.
3. Long term opiates in thise with dementia unless indicated for palliative care or management of moderate/severe chronic pain syndrome.
Any duplicated drug classes excluding those prescribed on a prn basis.
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