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