Q 12 by Kingston https://padlet.com/kingrajiah/r5juqhbtkxbg en-us 2015-09-18 06:52:36 UTC 2016-09-14 02:13:14 UTC hello@padlet.com A 52-year-old post-menopausal female requesting for advice on HRT. She has no significant medical and drug history. kingrajiah https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/70892411 2015-09-18 06:53:21 UTC https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/70892411 https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/71154054 2015-09-21 01:54:57 UTC https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/71154054 History-taking https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123644400 Question we should ask
.First time trying HRT?
.Which stage?Perimenopausal,borderline postmenopausal or postmenopausal
.When was the last time she had her period?
.Any abnormal bleeding pattern?
.What kind of symptoms is she experiencing?
.Do these symptoms affect her daily routine?
.which route of administration does she prefer?(tablets,skin patches,gels,nasal spray or vaginal ring


]]> 2016-09-14 01:25:13 UTC https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123644400 Recommendation https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123645703 Tibolone 2.5 mg/day (Selective oestrogen receptor modulator)
.1 tablet/day.No dose adjustment is necessary for the elderly.Lower effective dose for the shortest duration should be used.
.A separate progestron should not be added wih Livial treatment.
.Starting Livial:Women experiencing a natural menopause should commence treatment livial at least 12 months after their last natural bleed.In case of a surgical menopause,treatment with Livial may commence immediately.
 ]]> 2016-09-14 01:36:48 UTC https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123645703 Counselling https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123646305 .A missed dose should be taken as soon as remembered,unless it is>12 hours overdue.In the latter case,the missed dose should be skipped and the next dose should be taken at the normal time.Missing a dose may increase the likehood of breakthrough bleeding and spotting.
May experience side effect such as breast tenderness,bloating,nausea and PMS symptoms.
HRT is not a contraceptive. Women is considered potentially fertile for one year since she is aged over 50 years.]]> 2016-09-14 01:42:46 UTC https://padlet.com/kingrajiah/r5juqhbtkxbg/wish/123646305