Hey i just graduated from overseas uni and we are trained more to community field and your place is very near to mine...but my question is, is it difficult to go into hospital once you decided to do your prp at community pharmacy?

Its not safe to learn/memorize drugs like that. For instance, metronidazole can be easily confused with azoles antifungals...

I think they are designed for drug delivery intravaginally or via rectum so most of them will melt at body temperature...

I just memorize their active ingredients but the upshot is you can always refer to the book if you're not confident can you? Lol...

Agree with the paracetamol...yes maximum of 4g within 24hours...should be evenly spaced if possible..

I would like to add regarding the benefit of drug-food interaction...certain drugs are advisable to be taken with food to aid absorption or to reduce GI side effects....but this is indirect effect though

For drugs that can be influence by your diets, i suggest you to be consistent with it. If you eat green leafy veggies everyday or drink a glass of alcohol everyday before taking warfarin for example, just make sure you do not binge on them on certain days...the keyword here is consistent...

This post has been edited by Rustaman69: Feb 15 2014, 11:55 PM

Is it? lol...yea because it inhibits vit k thingy??

I'm just double checking leh...

After giving a careful thought, i'm still adamant with my first answer.
Just be consistent with the diet. If the patient previously consumed a few glass of alcohol everyday and then suddenly stop to take the medication, in practice, too reach the target INR is quite difficult. In fact the patient would be very unhappy if you interfere their daily routine. Again the keyword here is be consistent and do not binge on them on certain days. Sorry if you have to disagree.

Yeah drinking is not sort of lifestyle in malaysia. Thats why i keep repeating IF they consume alcohol everyday for the past few years...

Hmmm...i never said that we shoudnt interfere with their lifestyle. Of course as a pharmacists the best thing that you can do is to advise them to limit their alcohol intake or try to stop gradually. But whats the chance of them following our advice if drinking on the weekends with their friends is all they ever done for the past few years?

Anyhow, there are certain drugs that i would ask patient to forbid altogether from taking them with alcohol for instance metronidazole. Thats why as pharmacist we have to tailor our counselling based on our patient (i.e not the same counselling point for a particular drug to all patient)

btw i'm not trying to prove i am right or anything. I am sure different pharmacist has different approach as long as we keep our patient adhere to their medication and safe that should be fine.

This post has been edited by Rustaman69: Feb 18 2014, 04:46 PM