DOAC - DSM

What is normal range for TSH

0.5-4.7

How should bisphosphonates be taken

30 minutes before all other medications and food do not lie down within 60 minutes

When is it recommended for patients to take a bisphosphonate holiday

5 years

What should a patient be taking along with a bisphosphonates

Calcium and vitamin D

Which calcium does not require acid to be absorbed

Calcium citrate

How should levothyroxine be taken

First thing in the morning on an empty stomach with a full glass of water 30-60 min before coffee and breakfast separated from vitamins by 4 hours

What are the risks with long term PPI use

Fractures, C diff, other

Low TSH indicated ___thyroidism

Hyperthyroidism

High TSH indicates ___thyroidism

Hypothyroidism

DOACs + fish oil

Increased bleeding risk

Recommendations for alcohol with DOAC

Increased bleeding risk, limit or 1 per day

How will too high dose of levothyroxine affect TSH levels

Lower TSH levels

How does hyperthyroidism affect AF

Palpitations, tachycardia

Why should a patient take a bisphosphonate holiday after 5 years of therapy

Prevent risk of long bone fractures

Which statins should not be used due to interactions with amiodarone or amlodipine, non DHP CCBs, dronedarone etc

Simvastatin, Lovastatin