Home' Australian Pharmacist : July 2011 Contents Vol. 30 -- July #07
Continuing Professional Development
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Which of the following changes to
Susan's medications is the most
appropriate recommendation to
a) Commence oral gabapentin.
b) Commence oral clonidine.
c) Commence oral tibolone.
d) Commence oral venlafaxine.
Question 3. Sulfonamide
ASCIA Guidelines: Sulfonamide
antibiotic allergy [online]. The
Australasian Society of Clinical
Immunology and Allergy. Jan 2010
[accessed 19 May 2011]. At:
Smith WB, Katelaris CH.
'Sulfur allergy' label is misleading
[online]. Australian Prescriber. 2008
[accessed 19 May 2011]; 31:8--10.
Mrs Jude Clancee, a middle-aged
woman, brings in new prescriptions
for celecoxib 200 mg daily for
osteoarthritis and Alprim 300 mg at
night, for a urinary tract infection.
Jude hasn't visited your pharmacy
before and she explains that she
also takes felodipine ER 5 mg daily
and uses a salbutamol inhaler when
required. Jude tells you that she "took
Bactrim a few years ago and ended up
in hospital with a nasty rash all over. I
was told that I was allergic to 'sulfur'
and haven't been able to eat sausages
or drink a glass of wine since then
because of the sulfur preservatives in
" She asks if her new medicines
are likely to cause an allergic reaction
similar to that caused by the Bactrim.
Of the following options, the most
appropriate advice to provide to Jude
regarding her drug allergy is:
a) The sulfite preservatives in
sausages and wine may cause
a similar allergic reaction to that
caused by the Bactrim; Jude
should continue to avoid all foods
and drinks containing sulfite
b) The celecoxib contains a
sulfonamide molecule which may
cause a similar allergic reaction to
that caused by the Bactrim; you will
need to contact Jude's doctor to
discuss changing the celecoxib to
c) Jude's new medicines, Alprim
and celecoxib, do not contain a
sulfonamide molecule and they are
unlikely to cause a similar allergic
reaction to that caused by the
Bactrim; she can take both safely.
d) Because trimethoprim (the
antibiotic in Alprim) is also
contained in Bactrim, Jude may
develop a similar allergic reaction to
the Alprim; you will need to contact
her doctor to discuss changing
Alprim to another antibiotic.
Note: The CPD questions are now at
the end of each article.
PSA members can answer online at
www.psa.org.au and receive automatic feedback.
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Submit your answers before 1 September 2011
or fax/mail to:
(04) 381 4786
NZCP Mail address: NZCP CPD answers
PO Box 11 640
(03) 9389 4044
PSA Mail address: PSA CPD answers
PSA Victorian Branch
Level 1, 381 Royal Parade
PARKVILLE VIC 3052
online at www.psa.org.au and receive automatic feedback
Australian Pharmacist Continuing Professional Development (CPD) is a central
element of PSA's CPD&PI program. It is also part of the New Zealand College of
Pharmacists (NZCP) education program for NZ pharmacists.
The CPD section is recognised under the PSA CPD&PI program as a Group 2 activity.
Members can choose which articles they want to answer questions on and get CPD
credits based on the questions they answer. The credits allocated to each section
and the pass mark are shown with the questions.
CPD credits are allocated as follows: a minimum of 6 out of 8 questions correct
attracts 1.5 credits, a minimum of 4 out of 5 questions correct attracts 1 credit, and
a minimum of 3 out of 4 questions correct attracts three quarters of a credit.
If not submitting online, write the correct answers in the spaces provided on the
answer panel on the back of the address sheet, fill in your name, member number
and address details, then either mail or fax the answer page to the relevant address
and fax number for marking.
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