Antibiotic guidelines

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COPD

REMOVE THE CAUSE 

Smoking cessation

STRENGTHEN THE MUSCLES

Pulmonary Rehabilitation

RESCUE

(SABA)  Salbutamol

OR

(SAMA) Ipratropium bromide

MAINTENANCE

(LABA) Formoterol Easihaler

(LAMA) Spiriva Respimat

(LABA/LAMA) Anoro Ellipta

 

IF NEEDING STEROID (Eosinophil > 0.3)

(LABA/ICS) Relvar Ellipta

(LABA/LAMA/ICS) Trelegy Ellipta

MUCOLYTIC

Carbocystiene

Type 2 Diabetes

Universal

  • Diet
  • Exercise
  • Hypertension
  • Weight
  • Cholesterol

Step 1

Metformin

 

if CKD 4/5 – move to next step

Step 2

Linagliptin

(DPP4i)

If known CKD / HF / microalbuminuria / proteinuria – move to next step

Step 3

Dapagliflozin

(SGLT2i)

If known peripheral vascular ulceration or DKA risk – move to next step

Step 4

Semaglutide

(GLP1)

If pancreatic disease or CKD5 – move to next step

Consider

Gliclazide (caution if renal or hepatic impairment, overweight, elderly, falls risk, high risk occupation)

Pioglitazone (caution if liver impairement, HF, bladder cancer)

Insulin

Asthma

RESCUE

 

Salbutamol

PREVENTION

STAGE 1

(ICS) Clenil

PREVENTION

STAGE 2

(ICS/LABA) Fostair 1 puff BD

PREVENTION

STAGE 3

(ICS/LABA) Fostair 2 puffs BD

Steroids

Mild

Hydrocortisone 1%

Moderate

Betnovate RD (0.025%)

Eumovate

Trimovate (antifungal and antibac)

Alphaderm (with urea)

Potent

Betnovate 0.1%

Betacap

Locoid

Synalar 0.025%

Fucibet (antibac)

Synalar C (antifungal – cliioqinol)

Synalar N (antibac – neomycin)

Diprosalic (with salicylic acid)

Very Potent

Dermovate

Dermovate scalp lotion