some followup:
I spoke to the GP about the prednisolone (not one of my local ones). He said to keep it qds. Fine, great way to start the day. I did of course remind him about the possibility of adrenal suppression with the repeated evening doses.
The local surgery have a strange way of using Zyban: they give it once daily for two weeks, then increase it to two weeks if they think the patient needs it. Now if this is such a good idea, why isn't it mentioned in the SPC or BNF? I'll have to find out what their quit rate is.
For the levonelle I dispensed the POM product and sorted out a new script later.
Today I had another dental one, this time for amoxil 500mg qds. So again I speak to the dentist (not the same one as the metronidazole) reminding her that amoxil is tds, has a decent half life so no need to give qds. She said to keep it as qds, and when I asked if there was any particular reason for this her response was 'because thats what I want'. Right.
And then, just before closing at 6.30, a script for Baxan 500mg tds. Luckily the surgery were still open, so was able to check it and get the dose changed.
Another interestin day at work.
Now a question: does anyone know of any evidence supporting the use of either amoxicillin or metronidazole at a qds dose? (Especially in dental infections).  |