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Would you spot serotonin syndrome?

You started Eidra, age 72 on mirtazapine. Eidra also takes co-codamol for osteoarthritis and duloxetine for stress incontinence. You notice a call on the triage list: ‘Please call carer. Eidra took her first tablet and she seems confused and shaky’.  Could this be serotonin syndrome?  Watch our Byte here to find out more.

Postural hypotension: spotting and managing it!

Polypharmacy, multimorbidity and frailty all increase the risk of falls and fractures. One of the many factors that contribute is postural hypotension.  How do you check if someone has postural hypotension?   And what can we do about it?  

Paracetamol: more complicated then you thought!

I still remember my hand shaking on my first day as a qualified doctor when I was asked to write up postoperative paracetamol for a patient! Such a simple request but I felt compelled to check the BNF. Of course, that quickly passed as I was asked to do it many times a day!

Our Menopause and HRT GEMs - your at a glance' guide

Menopause is in the news again! On the plus side, the government has introduced the HRT prescription prepayment certificate – a new scheme which enables women to access a year’s worth of HRT for only £19.30! On the negative side, last weekend saw headlines reporting potential dangers of off-licence HRT regimes.

I'm still coughing...

I’m still coughing… You’ve done a chest X-ray, treated them for reflux, given them a nasal spray to treat post-nasal drip, and they are still coughing. What next?