Sore throat
For patients coming in with a sore throat, I always recommend Cepacol lozenges or the generic equivalent. Seems obivous, but never occurred to me to recommend ice or ice chips to help sooth it as well.
I also usually ask them, "Have you seen a doctor yet? Sometimes sore throat can be caused by strep and you might need to be on antibiotics" but that is the extent of it. I'm going to add a bit of differential diagnosis to this. "How fast did it come on?" and "What other symptoms are you having?" are good questions. If it came on suddenly and they have fever, it is more likely to be strep. If they have swollen glands and/or headache, they should be referred to a doctor.
Constipation in an infant
Corn syrup / Karo syrup is an old home remedy, but modern corn syrup probably doesn't work. First thing to try is adding water or fruit juice in between feedings. If they eat solid foods, you can try adding pureed pears or prunes. If the baby is 6 months old or older, the doctor might prescribe an osmotic laxative like Polyethylene glycol (Miralax) or lactulose. Mineral oil, stimulant laxatives, and enemas are not recommended.
Fridge items
Gabapentin solution is an item you might not expect to find in the refrigerator. I see this prescribed to pets sometimes and an important point to keep in mind is that Xylitol is poisonous to them. The product made by Hi-Tech contains it, but the Amneal version is safe.
FIRST®- Omeprazole Compounding Kit is now kept in the refrigerator BEFORE compounding. Blew my other pharmacist's mind when I told him. "You mean, after you mix it?" "No, before" Whaaa...
How about you? Encounter anything new or interesting in pharmacy this week?
Submitted May 08, 2015 at 08:15PM by aelephant http://ift.tt/1JTWrUq pharmacy
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