Metformin is the most commonly prescribed medication for the treatment of diabetes in the UK. It is also one of the most prescribed drugs overall in the UK. As with other drugs, it is possible to experience side effects during the treament or medicine may not be suitable. Metformin can commonly cause gastrointestinal side effects and this very often leads to switching to another drug. Although there are many type-2 diabetic drugs, patients would be offered metformin alternatives according to the national guidance on the management of type 2 diabetes. Today I will summarise metformin alternative drugs, which may be prescribed to type 2 diabetic patients who cannot tolerate metformin.
Apixaban (Eliquis®) and warfarin are two popular prescription-only drugs classified as anticoagulants, commonly known as blood thinners. Warfarin has been used as an anticoagulant for a very long time. However, in recent years warfarin’s popularity decreased in place of newer anticoagulants such as apixaban, as reflected by prescribing statistics. Apixaban vs warfarin, a summary of the post: Apixaban vs warfarin: Are they used to treat the same conditions? Differences in mechanism of action between Do apixaban and warfarin need drug monitoring? Other advantages of apixaban vs warfarin Prescribing statistics Apixaban vs warfarin common side effects Is apixaban better than warfarin?
Montelukast, a prescription-only medication, is mainly used as add on therapy in the treatment of asthma, usually in patients who cannot control their condition with an inhaled steroid and who cannot control their asthma with ‘short acting’ inhaler such as Ventolin (Salbutamol). Today I will explore a different use of montelukast and answer the main question: can you use montelukast for allergies? Summary: What is montelukast Licensed use of montelukast Montelukast: mechanism of action Availability of different forms of montelukast Can you use montelukast for allergies? Montelukast vs antihistamines: what is the difference Legal classification Can you take montelukast with antihistamines? Conclusion
For many customers, throat numbing lozenges are the first choice in the management of sore and irritated throat. Throat numbing lozenges contain a local anaesthetic which numbs the area and hence help with pain and irritation. This post list all sore throat lozenges containing a local anaesthetic available in the UK. You may also be interested in a related post listing variety of sore throat lozenges. Summary: Can you buy throat numbing lozenges over the counter? Local anaesthetic lozenges: active ingredients List of bet throat numbing lozenges Other options for managing sore throat Conclusion
Amoxicillin is one of the most prescribed antibiotics in the UK. On the contrary, metronidazole is significantly less prescribed by GPs, mainly because of preferred use in dental infections. Prescriptions which are fulfilled in the pharmacy for a combination treatment with amoxicillin and metronidazole are almost always issued by a dentist rather than GP. The obvious question to ask is: can you take amoxicillin and metronidazole together? The answer to that question straightforward. However, I will provide reasoning behind the concomitant treatment and contrast both antibiotics.
Lacri-lube has been out of stock since 2018. Still, after all this time, some patients get repeat prescriptions issued with Laci-Lube on it. Patients who have Lacri-Lube eye ointment on their ‘repeats’ should contact their surgery and ask to remove it and replace it with Lacri-lube alternative eye ointments. I will list in this post the best Lacri-Lube alternative eye ointments and gels. All eye ointments which are alternative to Lacri-Lube can be purchased from pharmacies and online. #
A new pharmacy service was recently launched in England, which allows the public to collect free COVID-19 lateral flow tests (lateral flow devices – LFDs) from community pharmacies. The NHS Community Pharmacy COVID-19 Lateral Flow Device (LFD) Distribution Service was launched on the 29th of March 2021, but the promotion of this service to the public will not start after Easter. Pharmacies were able to order LFDs from the 29th of March, which means the public can collect LFDs from participating pharmacies.
Diltiazem cream (diltiazem hydrochloride cream) is a medicine prescribed in the UK to manage chronic anal fissure. Today I will answer the most common questions surrounding the use, availability and treatment with this cream. Summary: What is diltiazem cream used for? How does diltiazem help with anal fissures? Classification of anal fissures The legal classification of topical diltiazem Topical diltiazem: legal classification Can you buy diltiazem hydrochloride 2% cream? How often to apply diltiazem cream? Diltiazem hydrochloride 2% cream: common side effects Alterative options to diltiazem cream
Amlodipine is one of the most commonly prescribed drugs in the UK and the most prescribed high blood pressure (BP) medication. When patients are diagnosed with high blood pressure and a drug is recommended, amlodipine may be the first choice, but not always. Taking any drugs comes with a risk of side effects, with amlodipine associated with few common side effects. Ultimately, patients may be prescribed amlodipine alternative drug. Today, I will discuss amlodipine alternative drugs according to recommended treatment guidelines. Perhaps the most important message to take in is that the choice of amlodipine alternative drug(s) will be driven by the national guidance on blood pressure, which clearly states…
Cerelle and Cerazette are two brands of daily progestogen-only pill (POP), also known as mini-pill. In recent years prescribing of Cerazette in NHS decreased, in place of other brands, including Cerelle. Today I will discuss the reasons for this change and review different aspects of Cerelle vs Cerazette use. Summary of the post: Cerelle vs Cerazette: are they the same? Cerelle vs Cerazette: How to take them? Cerelle vs Cerazette: common side effects Which contraceptive is more popular – Cerelle vs Cerazette? I used to be prescribed Cerazette, but not anymore. Why? Can I still request a doctor to prescribe Cerazette? Can I ask the pharmacy to dispense Cerazette instead…