Q 5 by Kingston https://padlet.com/kingrajiah/mtwuhqxysuug en-us 2015-09-18 06:41:32 UTC 2016-09-14 02:13:56 UTC hello@padlet.com A female customer came in for supply of COC, Minulet and painkiller for migraine. kingrajiah https://padlet.com/kingrajiah/mtwuhqxysuug/wish/70890969 2015-09-18 06:42:20 UTC https://padlet.com/kingrajiah/mtwuhqxysuug/wish/70890969 https://padlet.com/kingrajiah/mtwuhqxysuug/wish/71154166 2015-09-21 01:55:52 UTC https://padlet.com/kingrajiah/mtwuhqxysuug/wish/71154166 ·         What is the indication for painkiller? ( in this case is for migraine) ·         In case of migraine, we need to ask her about : o   When do you start having migraine? o   How frequent is your migraine? o   Did you take any medication for your migraine before? o   Do you suspect anything that triggers your migraine? o   How severe is the pain? How well can you tolerate with the pain ? ·         Mild to moderate            - Panadol Extend® (paracetamol 665mg) ·         Severe                                  - Cafergot ® (Ergotamie tartrate 1 mg, caffeine 100mg)     v  COC (Minulet- contains gestodene and ethinlyestradiol) v  What is the indication for Minulet? (Acne, delaying period, birth control) v  Is this the first time you taking oral contraceptive? o   If no- ask what she took before. v  Marital status/ Pregnancy – If pregnant, any breastfeeding? v  Patient background: Age, weight, height v  Medical history v  Family history v  Social history: Alcohol intake and smoke v  Recommendation: Low dose of combined oral contraceptive / minipills (progestin only pill) o   Low dose combined oral contraceptive :  Mercilon (desogestrel 150 mcg and ethinlystradiol 20 mcg) o   MInipills                                                               : Cerazette (desotrogel 75 mcg) https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649073 2016-09-14 02:08:44 UTC https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649073 • What is the indication for painkiller? ( in this case is for migraine)• In case of migraine, we need to ask her about :o When do you start having migraine?o How frequent is your migraine?o Did you take any medication for your migraine before?o Do you suspect anything that triggers your migraine?o How severe is the pain? How well can you tolerate with the pain ? • Mild to moderate - Panadol Extend® (paracetamol 665mg)• Severe - Cafergot ® (Ergotamie tartrate 1 mg, caffeine 100mg) COC (Minulet- contains gestodene and ethinlyestradiol) What is the indication for Minulet? (Acne, delaying period, birth control) Is this the first time you taking oral contraceptive?o If no- ask what she took before. Marital status/ Pregnancy – If pregnant, any breastfeeding? Patient background: Age, weight, height  Medical history Family history Social history: Alcohol intake and smoke Recommendation: Low dose of combined oral contraceptive / minipills (progestin only pill)o Low dose combined oral contraceptive :  Mercilon (desogestrel 150 mcg and ethinlystradiol 20 mcg)o MInipills : Cerazette (desotrogel 75 mcg) https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649109 2016-09-14 02:09:14 UTC https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649109 ·         What is the indication for painkiller? ( in this case is for migraine) ·         In case of migraine, we need to ask her about : o   When do you start having migraine? o   How frequent is your migraine? o   Did you take any medication for your migraine before? o   Do you suspect anything that triggers your migraine? o   How severe is the pain? How well can you tolerate with the pain ? ·         Mild to moderate            - Panadol Extend® (paracetamol 665mg) ·         Severe                                  - Cafergot ® (Ergotamie tartrate 1 mg, caffeine 100mg)     v  COC (Minulet- contains gestodene and ethinlyestradiol) v  What is the indication for Minulet? (Acne, delaying period, birth control) v  Is this the first time you taking oral contraceptive? o   If no- ask what she took before. v  Marital status/ Pregnancy – If pregnant, any breastfeeding? v  Patient background: Age, weight, height v  Medical history v  Family history v  Social history: Alcohol intake and smoke v  Recommendation: Low dose of combined oral contraceptive / minipills (progestin only pill) o   Low dose combined oral contraceptive :  Mercilon (desogestrel 150 mcg and ethinlystradiol 20 mcg) o   MInipills                                                               : Cerazette (desotrogel 75 mcg) https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649132 2016-09-14 02:09:29 UTC https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649132 • What is the indication for painkiller? ( in this case is for migraine)                                            • In case of migraine, we need to ask her about :                                                                                        o When do you start having migraine?                                                                                                    o How frequent is your migraine?                                                                                                            o Did you take any medication for your migraine before?                                                                o Do you suspect anything that triggers your migraine?                                                                    o How severe is the pain? How well can you tolerate with the pain ?                                     •Recommendations:  Mild to moderate - Panadol Extend® (paracetamol 665mg)                                                          Severe - Cafergot ® (Ergotamie tartrate 1 mg, caffeine 100mg)                 COC (Minulet- contains gestodene and ethinlyestradiol)                                                             What is the indication for Minulet? (Acne, delaying period, birth control)                               Is this the first time you taking oral contraceptive?                                                                         o If no- ask what she took before.                                                                                                       Marital status/ Pregnancy – If pregnant, any breastfeeding?                                                       Patient background: Age, weight, height                                                                                         Medical history                                                                                                                                           Family history Social history: Alcohol intake and smoke                                                         Recommendation: Low dose of combined oral contraceptive / minipills (progestin only)                o Low dose combined oral contraceptive :  Mercilon (desogestrel 150 mcg and ethinlystradiol 20 mcg)                                                                                                                                             o Minipills : Cerazette (desotrogel 75 mcg) https://padlet.com/kingrajiah/mtwuhqxysuug/wish/123649144
Counsel patient on missed pill and advise her to take one pill everyday at the same time. 

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