TEALE FENNING Medical Education    FAQ   Search   Memberlist   Usergroups   Register   Profile   Log in to check your private messages   Log in  mrcog courses for doctors Alpha Methyl dopa          TEALE FENNING Forum Index -> MRCOG Part 2: MCQ & Past Paper questions View previous topic :: View next topic   Author Message cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Fri Jun 01, 2007 1:03 am    Post subject: Alpha Methyl dopa 1)Alpha Methyl dopa is licensed for use in the UK as antihypertensive in pregnancy. T/F Answer- False Last edited by cpeedahsa on Mon Jun 04, 2007 4:51 am; edited 1 time in total Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 973 Posted: Fri Jun 01, 2007 5:01 pm    Post subject: T _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top EMAK Century Club Joined: 26 Nov 2006 Posts: 572 Posted: Sat Jun 02, 2007 2:55 am    Post subject: True>>>not very sure about max. dose but can be 3 g/day,,, Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1862 Location: Nottingham Posted: Sat Jun 02, 2007 9:14 am    Post subject: Thought you could go up to 4g?? Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 973 Posted: Sat Jun 02, 2007 10:34 am    Post subject: The maximum dosage is 65 mg/kg or 3 g daily which ever is more. use with caution if on -- ACE Inhibitors -- potentiates effect Beta-blockers -- potentiates effect Calcium-channel blockers -- potentiates effect Viagra® or other PDE-5 inhibitors -- ?? NSAIDs – may reduce antihypertensive efficacy can cause hemolytic anemia can cause jaundice r _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Mon Jun 04, 2007 4:38 am    Post subject: http://cks.library.nhs.uk/hypertension_in_pregnancy/view_whole_guidance Methyldopa is not licensed to be used in pregnancy! Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Mon Jun 04, 2007 4:40 am    Post subject: http://cks.library.nhs.uk/hypertension_in_pregnancy/view_whole_guidance Nifedipine is not licensed either for use in pregnancy as a antihypertensive Last edited by cpeedahsa on Mon Jun 04, 2007 4:52 am; edited 1 time in total Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Mon Jun 04, 2007 4:45 am    Post subject: http://cks.library.nhs.uk/hypertension_in_pregnancy/view_whole_guidance Labetalol is licensed! I was not able to find info on Hydrallazine though Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Mon Jun 04, 2007 4:50 am    Post subject: There is a letter in BJOG 2004 that mentions that magnesium sulphate in pre-eclampsia is not licensed for use in preeclampsia!!! However I am not able to find other references. Here is the link to that letter ! http://www.blackwell-synergy.com/action/showPdf?submitPDF=Full+Text+PDF+%2854+KB%29&doi=10.1111%2Fj.1471-0528.2004.00118.x BJOG: April 2004, Vol. 111, pp. 392 The drugs we deserve Bryony Jones, Aarthi Mohan & Phillip Bennett Imperial College Parturition Research Group, UK Faculty of Medicine, Imperial College London, UK Institute of Reproductive and Developmental Biology, Queen Charlottes and Chelsea Hospital, Du Cane Road, London W120NN, United Kingdom Back to top farha Century Club Joined: 18 May 2007 Posts: 157 Posted: Mon Jun 04, 2007 6:49 am    Post subject: METHYL DOPA What is the consensus LICENSED OR NOT LISENSED? Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 973 Posted: Mon Jun 04, 2007 9:07 pm    Post subject: farah, i really don't think licensing is a big issue, max it will carry is 1 mark worth of mcq. you can cover 3 mcq marks with one essay mark. remember what you can, what you can't won't matter much. licensed or not, don't forget the drugs that we do use and why we use them. cheers raj p.s -- by the way methyldopa -- not licensed, the nhslibrary reference says so and i'll go with it. _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 922 Posted: Mon Jun 04, 2007 9:21 pm    Post subject: I guess irrespective of whether the drug is licensed or not, some drugs are going to used simply because some/most of them are effective in clinical practice. (or sometimes for other reasons). It only makes it a little bit more interesting to know that bit about license. Moreover MCQs make learning more fun. I suppose the exam maybe structured in such a way that MCQs and EMQs are less important than essays; but I do know people have passed in the essays and failed because of MCQs! Maybe simply mastering the essay technique helps a lot to just pass the exam, but knowing more won't hurt at all and is infact useful post exams, in practice. At the same time, I agree, being exam oriented helps with passing the exams. Back to top wolverine Century Club Joined: 16 Jan 2007 Posts: 394 Posted: Tue Jun 05, 2007 2:01 am    Post subject: About liscensing though I would agree with Raj. I can't remember hardly any MCQ's I did when I was preparing referred to if something is liscenced or not and there was not any in the exams in March. And at the end of the day what it really matters is what is been evidenced to be effective (i.e. antenatal steroids not liscenced (?yet)) and NOT what is liscenced both for the exams and for my practice!! Back to top wolverine Century Club Joined: 16 Jan 2007 Posts: 394 Posted: Tue Jun 05, 2007 2:05 am    Post subject: I agree that sometimes drugs are used for "other" reasons but I know that some other drugs are not liscenced for "other" reasons too Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 973 Posted: Tue Jun 05, 2007 8:37 am    Post subject: well put vangelis, you have said exactly what i meant to.... r _________________ Dr Miss. 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