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A2 D Fybogel sachets contain ispaghula husk, a bulk-forming laxative, which relieves constipation by increasing the faecal mass through peristalsis. Bulk- forming laxatives are indicated to alleviate constipation in patients with diverticular disease and they could be used on a long-term basis. Patients are also advised to maintain an adequate fluid intake and a diet rich in fibre.

Senokot tablets (sennosides), Dulco-lax tablets (bisacodyl) and glycerol suppositories are classified as stimulant laxatives.

These increase intestinal motility and must be avoided in intestinal obstruction, such as may occur in diverticular disease. Magnesium hydroxide mixture, which is an osmotic laxative is not indicated in diverticular disease.

A3 D Sneezing, together with a runny or congested nose and red, itchy eyes, is the most common feature of allergic rhinitis (hay fever). Coloured sputum, fever, sore throat and malaise indicate the presence of an infection, rather than an allergic component.

A4 A The daily dosing regimen for this patient would be: 25 mg X 15 kg = 375 mg. Mefenamic acid suspension is available as 50 mg/5 mL. The patient therefore must be given 37.5 mL to receive the total daily dose of 375 mg; 37.5 mL divided into three doses in a day would be equivalent to 12.5 mL. This means that the patient must be given 10 mL on a three times daily (t.d.s.) basis. A5 C Co-codamol is a combination of paracetamol (non-opioid analgesic) and codeine (opioid analgesic). One of the side-effects of opioids is constipation. Naprosyn is a proprietary (trade name) preparation of the non-steroidal antiinflammatory drug naproxen; Adalat is a proprietary preparation of the calcium-channel blocker nifedipine; Amoxil is a proprietary preparation of the beta-lactam amoxicillin; and Dulco-lax is the brand name of the stimulant laxative bisacodyl.

A6 D Napkin dermatitis can be soothed and prevented with the 37 black casino cialis jack phentermine trackback viagra use of barrier creams and ointments such com esmeralda site tramadol as zinc and castor oil, Vasogen, Sudocrem and Drapolene. Canesten HC contains an antifungal clotrimazole and the corticosteroid hydrocortisone. Such combination products are only indicated in severe order phentermine online no napkin dermatitis and are used only order phentermine online no for 1 week, after which treatment is continued with a cream containing an antifungal only. A7 D Voltarol is a brand-name preparation for diclofenac (NSAID) and modified- release tablets are available in 75 mg and 100 mg strength. Nu-seals is a proprietary preparation of enteric-coated aspirin 75 mg. Fentanyl, co- codamol and Suboxone (buprenorphine and naloxone) consist of opioid drugs. A8 A Amlodipine and nifedipine are dihydropyridine calcium-channel blockers. Amlodipine differs from nifedipine in that it has a longer duration of action and can therefore be given once daily, unlike nifedipine. Both are indicated in hypertension and angina and tend to cause ankle oedema that does not respond to diuretic therapy.

Neither amlodipine nor nifedipine are available codeine and oxycodone as spray formulations. Eye infections caused by Pseudomonas aeruginosa are associated with severe complications. A10 C Gingivitis refers to an inflammation of the gums, which may be caused by poor order phentermine online no oral hygiene, dental defects, diabetes and mouth breathing. Good oral hygiene is encouraged and patients are advised to use an antiseptic mouthwash regularly. A11 D Glucose is a simple sugar and is the sole provider of energy to the brain. Bradykinin, histamine, lymphokines and lysosomal enzymes are all different inflammatory mediators that play a significant role in precipitating asthma and other inflammatory conditions.

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