In the UK, we use the 2WHAM method of questioning a patient: WHO is it for? WHAT are the symptoms? HOW long have they had symptoms? ACTIONS already tried? MEDICINES being taken? OTC or on Rx.... This set of questions has stood me in good stead for the past 25 years, as a pharmacy professional
I was taught this as a dispenser and medicine counter assistant but as a pharmacist I have been taught ASMETHOD (Age, self, medication tried, extra medication they are on, time it has been present/it gets worse, history of problem, other symptoms, danger symptoms) - UK
Hello my friends - as you will see if you do some VERY quick searches (prior to posting unprofessional comments to this video such as asking if the pharmacist is insane), pseudoephedrine is very safe to use short term in people with stable glaucoma UNLESS they have narrow angle / closed angle glaucoma. Notice the pharmacist asked about this during the counseling.
Normally, I avoid using Psuedoephedrine that might worsen the glaucoma, I’d rather prescribe 2nd or 3rd Gen Anti-histamine for her symptoms + Intranasal Decongestant for the quick reliever for 2-3 days+ some Vitamin C … if she can get enough sleep, the viral symptom will recover rapidly.
although yes glaucoma is a contraindication with an a1 agonist like pseudoephedrine, it is more of a relative risk. The patient's glaucoma is stable and is most likely only using the sudafed product acutely. I would obviously mention to the patient to not use the sudafed long term and if she experiences nasal congestion long term to contact her PCP.
Same ingredient, but it's only unsuitable for patients with CLOSED angle glaucoma (unstable type, wouldn't be on eye drops long term as usually need surgery), not open angle glaucoma which is the type present here. As an aside, I think the pharmacist should have mentioned that pseudoephedrine can also cause difficulties with sleeping... The side effects he mentioned are not very "rare" either...
Patients with high blood pressure, heart disease, diabetes, narrow angle glaucoma, thyroid disease or difficulty in urination due to enlargement of the prostate gland should take Sudafed Sinus Advance only under the advice and supervision of a physician.
please show about a dialogue. I can't understand 100%. I want to practice my english skill for pharmacist because I want to explain to foreigner customer about medicine.
hmm... pseudoephedrine....? why not give her some alternatives like saline nasal rinse? did you ask about other symptoms like high fever & mylalgia (rule out influenza illness), pleuritic chest pain? (pneumoniae)... what about pregnancy & lactation?... pseudoephedrine is category C and not recommended in pregnancy or lactating women... bro.... I think a PEBC canada might fail you lol
Pregnant or Breastfeeding? This is so important guys and he missed that,make sure never miss that
In the UK, we use the 2WHAM method of questioning a patient: WHO is it for? WHAT are the symptoms? HOW long have they had symptoms? ACTIONS already tried? MEDICINES being taken? OTC or on Rx.... This set of questions has stood me in good stead for the past 25 years, as a pharmacy professional
Great , I will definitely use them , greeting from Canada
I was taught this as a dispenser and medicine counter assistant but as a pharmacist I have been taught ASMETHOD (Age, self, medication tried, extra medication they are on, time it has been present/it gets worse, history of problem, other symptoms, danger symptoms) - UK
Hello my friends - as you will see if you do some VERY quick searches (prior to posting unprofessional comments to this video such as asking if the pharmacist is insane), pseudoephedrine is very safe to use short term in people with stable glaucoma UNLESS they have narrow angle / closed angle glaucoma. Notice the pharmacist asked about this during the counseling.
Normally, I avoid using Psuedoephedrine that might worsen the glaucoma, I’d rather prescribe 2nd or 3rd Gen Anti-histamine for her symptoms + Intranasal Decongestant for the quick reliever for 2-3 days+ some Vitamin C … if she can get enough sleep, the viral symptom will recover rapidly.
although yes glaucoma is a contraindication with an a1 agonist like pseudoephedrine, it is more of a relative risk. The patient's glaucoma is stable and is most likely only using the sudafed product acutely. I would obviously mention to the patient to not use the sudafed long term and if she experiences nasal congestion long term to contact her PCP.
Same ingredient, but it's only unsuitable for patients with CLOSED angle glaucoma (unstable type, wouldn't be on eye drops long term as usually need surgery), not open angle glaucoma which is the type present here.
As an aside, I think the pharmacist should have mentioned that pseudoephedrine can also cause difficulties with sleeping... The side effects he mentioned are not very "rare" either...
when he asked “have you heard of sudafed?” i half expected her to say “oh like from breaking bad” lol
Thank you MrPharmacistderek!
Patients with high blood pressure, heart disease, diabetes, narrow angle glaucoma, thyroid disease or difficulty in urination due to enlargement of the prostate gland should take Sudafed Sinus Advance only under the advice and supervision of a physician.
Bassem Mohamed y thyroid disease pts???
thank you so much for doing this! it is reall helpful!!!
😂😂
Me in Africa: Interaction too lengthy
please show about a dialogue. I can't understand 100%. I want to practice my english skill for pharmacist because I want to explain to foreigner customer about medicine.
Use subtitles ,go to the three points on the right side of your screen ,you'll get many options ,go for subtitles in English .
He did not ask for age, is it necessary?
guys this is clinical approach not pharmacological, you just cant be so rigid while making clinical judgement.
you just gave an alpha one agonist to a patient suffering from glaucoma...??
He surely did! 😯
It’s not the angle closure one though
In my country, pharmacist can provide "non otc drugs" lol especially antibiotics (azithromycin,levofloxacin..etc)
And more complicated cases .
In the UK Sudafed contains pseudoephidrine and is not suitable for patients with glaucoma. What is in this US variant?
To be on the safer side i would have given a nasal spray for a localised effect.
Sound quality isn't too great...
hmm... pseudoephedrine....? why not give her some alternatives like saline nasal rinse? did you ask about other symptoms like high fever & mylalgia (rule out influenza illness), pleuritic chest pain? (pneumoniae)... what about pregnancy & lactation?... pseudoephedrine is category C and not recommended in pregnancy or lactating women... bro.... I think a PEBC canada might fail you lol
Pregnancy/Lactation??
She's probably acting as an older patient ...arthritis, glaucoma....it's just acting. He's not going to ask about pregnancy/lactation. :)
Pseudoephedrine contraindicated in closed angle glaucoma?
Pls if you have any source for equivalence exam of psi or any source for studying mcq part i will be greatful
Rasha Wanas hey did you find any? I'm looking too
Hey Both, hope that you passed the exams, how was it? any help about finding sources?
Pseudoephedrine....
She's using Xalatan!!!
How do you people miss that, and she has glaucoma. PSE is contra indicated for people with glaucoma.
Why the would you give Pseudoephedrine for patient with glaucoma? Are you insane?