By

Kevin Watts BSc(Hons) RN, BSc(Hons), BSc(Hons), MInstChP, Dip Pod Med.

Member of the Institute of Chiropodists & Podiatrists

Podiatrist & Nurse

 

Background

As practitioners who care for the lower limb and associated structures, we are all responsible to take a full medical history of our patients. An important part of this history concerns us listing and having a basic knowledge of medication. The areas that we need to understand are; drug use, contraindications and possible side-effects.

If a patient is on a certain medication then this can give us an indication of their health and well-being. Different types of medication can indicate different conditions but if the medication strength is increased / decreased, can all provide part of a valuable picture. Many patients are on medication that may impact on our treatment procedures and preparation such as anticoagulants.

The Author has set out to provide a basic template of medication that can allow for quick and easy reference by the practitioner. The list is certainly not exhaustive, but does include many drugs that we may come across whilst in practice. All information has been taken from various sources and if there is any doubt about a medication, then it is very important to investigate it. Medication information sources can be   drug information leaflets, robust pharmaceutical publications such as the British National Formulary (BNF) and suitably qualified medical professionals. Online sites can be used but do so with caution.

 

Thanks to Steph & Louise at the Fane Foot Clinic in Peterborough,

for their valued input and constructive criticism.

BASIC MEDICATION LIST

 

The list does not provide all details about the medication but does provide a basic knowledge. This knowledge can be built on and the list added to as the practitioner identifies new medication. It is important to remember that some side-effects may effect different patients to varying degrees, whilst others may not experience side-effects at all. This document is to be used as a ‘memory jogger’ only, not for formal advice for a patient, not to recommend or to prescribe from. It is aimed as a fun, knowledge building exercise.

 

NAME	DRUGS USE	WARNINGS & PRECAUTIONS	POSSIBLE SIDE EFFECTS
Adacal-D3	Contains vitamin D and calcium for healthy teeth and bones.	Allergic to peanut, soya, vitamin D or calcium carbonate.	Constipation, rash, wheezing, swelling etc. Kyowa Kinn Ltd (2017).
Apixaban	To prevent blood clots from forming in the body.	Hypersensitivity, hepatic disease, abrupt discontinuation, prosthetic heart valve etc.	May cause bleeding and swelling, tiredness due to anaemia, nausea etc. Bristol-Myers (2019).
Allopurinol	Gout, kidney stones, reduces Uric acid build up	Avoid alcohol, people with infections, care= diabetes, heart failure, high BP, Chemotherapy	May impair reactions, driving. Teva UK, (2019).
Amitriptyline	Symptoms of depression.	Patients who have shown prior sensitivity. During acute phial Infarction.	All patients must be monitored for suicide risk. Crescent Pharma Ltd (2019).
Amlodipine (Calcium channel blocker)	Widens blood vessels / improves blood flow. Used for high BP, angina and coronary disease	Patients must be 6yrs+, certain other blood pressure medications especially simvastatins.	Oedema, palpitations, fatigue, flushing (reddening of limbs) wheezing, breathlessness etc. Actavis (2018).
Atenolol (beta-blocker)	To treat angina and hypertension.	Cardiogenic shock, 2nd, 3rd degree heart block.	Cardiac failure, fatigue, Cardiac failure, fatigue, bradycardia, dizziness and cold hands and feet. Crescent Pharma Ltd (2016).
Amiodarone	Antiarrhythmic.	Only used for arrhythmias.	Nausea, vomiting, fatigue, constipation, Accord Healthcare Ltd (2017).
Amoxicillin	Antibiotic for chest infections, pneumonia, urinary tract infections, ear infections.	Allergic reaction, liver / kidney problems etc.	Diarrhoea, may cause nausea and vomiting. Multipharm (2019).
Aspirin	Pain relief, swelling and pain reduction, anti-inflammatory, blood thinner etc.	Generally safe to take 16years+.	Nausea, vomiting, stomach pain, bleeding more difficult to control etc. Aspar Pharmaceuticals Ltd (2018).
Atorvastatin	To lower bad cholesterol & fats such as LDL	Avoid alcohol, high cholesterol foods.	Muscle breakdown, liver function, may increase blood sugars. Pfizer Ltd (2019).
Baclofen	Muscle relaxation and reduces muscle spasms, pain and muscle stiffness.	Chronic kidney disease, disorders of neck and sphincter mechanism etc.	Drowsiness, may affect balance etc. TEVA UK Ltd (2016).
Bisoprolol (beta-blocker)	Hypertension, affects the heart & circulation for better blood flow.	AV block, slow heart rhythm.	Fatigue, shortness of breath, headache, fever, chest pain etc. Sandoz Ltd (2019).
Bendroflumethiazide	A diuretic used to treat high blood pressure. Reduces oedema.	Addison`s disease, hypercalcaemia, hyponatraemia etc.	Dizziness, dry mouth, fatigue, headaches etc. Accord (2020).
Bumetanide	Diuretic which increases urination, to fight oedema.	Low salt diet, kidney problems, first 3 months of pregnancy etc	Dehydration, low BP, high blood sugar levels, muscle cramps, joint pain etc. Teva UK Ltd (2018).
Buscopan	Relieves muscle cramps in the stomach, intestine, bladder etc.	Enlarged bowel, paralytic / obstructive ileus etc.	Dry mouth, increased heart rate, may effect urination etc. Sanofi (2019).
Certirizine Hydrochloride	An antihistamine for hay fever relief	Allergic reaction to product or hydroxine, breastfeeding.	Drowsiness, alcohol / tranquilisers may increase drowsiness. Fannin (UK) (2015).
Co-Amoxiclav	Antibiotic (used in combination) for respiratory tract infection, UTIs, dental, joint & bone infections.	Drug allergy to penicillin, liver / kidney problems etc.	Rash, nausea / vomiting, diarrhoea, thrush etc. Milpharm Ltd (2018).
Codeine (opioid)	Pain medication for mild / moderately severe pain.	Allergic to drug, severe bronchial asthma or hypercarbia	Bloating, chills, blurred visions, dizziness, constipation, tachycardia etc.
Clopidogrel	Prevention of atherosclerotic events in peripheral heart disease.	Active bleeding	Abdominal pain, diarrhoea, gastro-intestinal bleeding etc. Torrent Pharma UK Ltd (2018).
Co-Codomol	Mixture of Paracetamol & Codeine. Treats aches / pain, muscular pain, headaches. Usually taken other drugs do not work.	Codeine and Paracetamol must not be taken together due to excess dosage.	Skin rash, sensitivity, shortness of breath, sedation and dizziness etc. Mercuary Pharma (2018).
Citalopram	Antidepressant.	Poorly controlled epilepsy.	Dry mouth, anxiety, drowsiness, Dry mouth, anxiety, drowsiness nausea, sleep problems etc. Aurobindo Pharma Ltd (2017).
Carvedilol	High blood pressure, heart failure.	Asthma, cardiogenic shock, bradycardia etc.	Nausea, peripheral coldness etc. Milpharm Ltd (2017).
Colchicin	To treat gout. Familial Mediterranean Fever (FMF).	Pregnancy and breast feeding, Avoid grapefruit. Kidney / liver problems.	Allergic reaction, Stomach ache, bloody stools etc. Accord (2019).
Colecalciferol	Vit D to help calcium absorption / low phosphate levels in blood	High calcium levels	Allergic to medication, rash etc. Swiss Caps GmbH (2019).
Deltaparin (injection)	To treat / prevent blood clots from forming.	Severe liver / kidney failure, trauma, with other medication such as aspirin, warfarin etc.	Injection site reaction, haematoma, itching, allergic reactions etc. Pfizar Ltd (2015).
Digoxin	Used to treat heart failure, AF by making the heart beat stronger.	Intermittent heart block, 2nd degree heart block, VF, myocarditis etc	Dizziness, fainting, fast / slow heartbeat, blood in stools etc. Accord (2018).
Diltiazem	Calcium channel blocker for high Blood pressure, angina and certain heart arrhythmias, hyperthyroidism.	Low blood pressure.	Dizziness, weakness, tiredness, nausea, flushing etc. Sanofi (2018).
Diazepam	Muscle relaxant, anxiety and for difficulty sleeping etc.	Allergic reaction, mental illness, severe sleeping problems, alcohol and drug abuse etc.	Drowsiness, confusion, tiredness, nausea, vomiting, etc. TEVA UK Ltd (2019).
Doxazosin	Hypertension, to improve urination in men (benign prostate hyperplasia)	Micturition syncope, postural hypotension, overflow bladder, anuria.	Chest pain, arrhythmias, hypotension, nausea, muscle complaints etc.
Dexamethasone	Corticosteroid medication for rheumatic problems, skin diseases, asthma, allergies, chronic obstructive lung disease etc.	Avoid live virus vaccines	Blurred vision, rapid weight gain, mood changes, and acne, dry and thinning skin etc. Trotwood Pharma Ltd (2017).
Edoxaban	Inhibitor of activated factor X thus preventing prothrombin being converted to thrombin which prolongs clotting time.	Active bleeding, gastro-intestinal ulceration, high risk of bleeding etc.	Anaemia, haemorrhage, nausea, skin reactions etc. Daiichi Sankyo UK Ltd (2019).
Eplenerone	Aldosterone blocking agent. Aldosterone produced by the body to control blood pressure and heart function. Used for heart failure etc.	Kidney / liver disease, medication containing lithium, tacrolimus or cyclosporin for skin conditions.	Nausea, vomiting, itching, back pain, Dehydration, sore throat etc. Accord Healthcare (2019).
Ferrous Sulfate	Helps to treat and prevent Iron deficiency.	Sickle cell anaemia, stomach ulcer etc.	Nausea, vomiting, diarrhoea, wheezing etc. Actavis (2019).
Ferrous Fumarate	To increase iron levels to maintain red blood cell production. To prevent iron deficiency anaemia.	Stomach / duodenal ulcer, inflammatory bowel conditions, ulcerated colitis etc.	Heartburn, nausea, vomiting, Darker stools, diarrhoea / constipation etc. Mercury Pharmaceuticals Ltd (2015).
Folic Acid	Type B Vitamin which helps the body to make new cells and helps to prevent changes to DNA that may lead to cancer. Used to treat certain types of anaemia.	May need tests to satisfy Folic Acid use if you have Kidney disease, infection, pernicious anaemia (B12 deficiency) and alcoholism.	Appetite loss, nausea, bloating, bad taste in mouth, sleep disturbance, depression etc. Crescent Pharma Ltd (2018).
Finasteride	To treat urinary problems concerned with enlarged prostate.	Allergic to medication and not for use by females.	Chills, cold sweats, confusion, dizziness, light-headedness when standing. Cipla (EU) Ltd (2018).
Flucloxacillin	To treat skin and soft tissue infections. Respiratory tract infections etc.	Contraindications to other meds, penicillin allergy.	Rash, itchy skin, purpura (black heads on the skin) etc. Milpharm Ltd (2017).
Furosemide	Oedema.	Dehydration, hypovolaemia, renal failure, liver cirrhosis, may effect blood pressure.	Gout, dermatitis, electrolyte disturbances, bone marrow depression, tinnitus / hearing loss, hypersensitivity etc. Crescent Pharma Ltd (2016).
Gabapentin	For nerve pain and epilepsy.	Drug allergy, pain drug dependency.	Sleepy, dizziness etc. Brown and Burk UK Ltd (2017).
Gliclazide	Treats type2 diabetes, lowers blood sugar through increasing insulin production.	Drug allergy, ketoacidosis, breast feeding, need to stop pre-surgery.	Hypoglycaemia, lethargy, dizziness, headaches etc. Milpharm Ltd (2017).
Isosorbide Mononitrate	Prevents angina / chest pain in coronary heart disease patients, nitrates widen blood vessels.	Aortic stenosis, cardiac tamponade, cardiomyopathy, anaemia etc.	Arrhythmias, flushing, headaches, nausea, vomiting, drowsiness, hypotension. Relochem Ltd (2016).
Haloperidol	Antipsychotic for schizophrenia. Normally taken at night.	Dementia, Parkinson`s, central nervous conditions.	May feel drowsy or less alert. Crescent Pharma Ltd (2019).
Lansoprazole	Reduces stomach acid, heart burn, indigestion etc.	Liver problems, allergic reaction to other meds, pregnancy & breast feeding.	Headache, diarrhoea, stomach pain etc. PLIVA Pharma Ltd (2017).
Lisinopril (Ace inhibitor).	Used to treat hypertension and increase survival after a heart attack.	Drug sensitivity.	Dizziness, hypotension, increased blood urea. Headaches etc. Actavis (2017).
Levothyroxine	Helps to support / replace hormone secreted by the thyroid.	Thyrotoxicosis,	Increased pulse, increased BP, fever, fainting, difficulty / laboured breathing etc. Actavis (2018).
Lorazopam	For anxiety & sleep related problems.	Chest / breathing problems, liver & kidney problems etc.	Sleepiness, drowsiness etc. Genethics Europe Ltd (2018).
Loratadine	Treats hay fever, conjunctivitis, eczema, hives, food allergies etc.	Severe liver failure, known allergy etc.	Headaches, feeling tired / drowsy, nausea etc. Teva Uk Ltd (2016).
Losartan	High blood pressure and heart failure, to protect kidneys if you have kidney disease and diabetes.	Allergic reaction, low blood pressure.	Anaemia, hypoglycaemia, postural disorders, vomiting and nausea etc. APL Swift Services Ltd (2018).
Mebeverine	Relief of IBS, is anti-spasmodic and relaxes muscles around the gut.	Paralytic ileus.	Rashes but rare. Mylan Products Ltd (2016).
Metformin	For treating Type 2 diabetes, lowers blood sugars, improves how the body uses insulin.	Hypersensitivity, chronic heart failure, Severe renal disease.	Nausea, loss of appetite, metallic taste in mouth, diarrhoea etc. Consilient Health ltd (2010).
Nicorandil	Used to prevent and treat Angina chest pain. Increases blood flow to the heart.	Hypotension, heart failure, kidney problems, pulmonary oedema etc.	Headaches, weak / dizziness, nausea, hypotension etc. Dexcel Pharma Ltd (2016).
Nitrofurantoin	Antibiotic for UTIs and kidney infections	Diabetes, kidney disease, anaemia & vitamin B deficiency	Nausea, headaches, appetite loss, etc. Mercury Pharmaceuticals Ltd (2019).
Odansetron	Sleeping tablet to treat insomnia.	Allergic reaction, liver or kidney problems, myasthenia (muscle weakness) etc.	Headaches, fatigue, dizziness, constipation etc. Cadila Pharmaceuticals Ltd (2019).
Omeprozole	Acid reduction in stomach, for indigestion, heart burn, acid reflux.	Medication allergy.	Nausea, constipation, stomach pain etc. AstraZenecar Ltd (2017).
Paracetamol	Treats pain & fever / pyrexia	Known allergy, Patients-50kg – 500mg. Above 50kg can take 1g. Do not exceed daily dose.	Nausea, vomiting and constipation. Galpharm Healthcare Ltd (2019).
Prednisolone	A corticosteroid – for allergies, skin infections / disorders, blood disorders.	Infections, breast feeding, pregnancy,	Stomach issues, insomnia, increased restlessness etc. Co-pharma (2017).
Prozac	Restores chemical imbalance in the brain to reduce depression, anxiety or OCD.	Drug allergy, suicidal thoughts must be closely monitored may need medication review.	Fidgety, restlessness, anxiety, diarrhoea, headaches, irregular heart rate etc. Accord (2019).
Pregabalin	For nerve pain, epilepsy, anxiety.	Medicine addiction, allergic reaction, pregnant, breast feeding, poor kidney function etc.	Headaches, sleepiness, diarrhoea, increased appetite. Generics (UK) Ltd (2018).
Quinine Sulphate	Nocturnal leg cramps & Malaria.	Optic neuritis, tinnitus, Haemoglobinuria.	Abdominal pain, hearing loss, skin reactions etc. Wockhardt UK Ltd (2018).
Rivaroxaban	For treating / preventing blood clots in certain patients with AF. Initial treatment of DVT, pulmonary embolism.	Drug allergy, kidney problems caused by liver disease, liver problems, brain surgery, TIA etc.	Mild bleeding, allergic reaction, black / tarry stools, shortness of breath, headaches, chest pain, fatigue etc. Bayer AG (2019).
Rivastigmine	Improves function of nerve cells to the brain. Used to treat dementia.	Known allergy, comes as a tablet or patch. If allergic to patch must not take oral.	Nausea, vomiting, dizziness, headaches, abdominal pain, depression. Rosemount Pharmaceuticals Ltd (2019).
Ranolozine	Chronic angina (chest pain), improves blood flow to the heart.	Medication allergy, hypotension etc.	Constipation, dizziness, nausea, light headedness etc. Menarini International (2017).
Ramipril	Used to treat high blood pressure and heart failure. Often prescribed following a heart attack. Helps to prevent strokes / heart attacks and kidney problems.	Medication allergy, hypotension etc. Pregnant, can cause low blood sugars so diabetics need to regularly check BMs.	Dry irritating cough, dizziness, light headedness, hypotension etc. Crescent Pharma (2018).
Simvastatin	To lower cholesterol I you have been diagnosed with high blood pressure. Prevents heart disease and strokes.	Drug allergy, do not take with grapefruit, Pregnancy.	Very few side-effects. Hypersensitivity. Crescent Pharma (2018).
Spirolactone	Fluid retention, oedema in heart failure, Reduces salt absorption & maintains potassium levels.	Drug allergy, hypotension etc.	Irregular heartbeat, dizziness, constipation, headaches, nausea etc. Accord (2020).
Stemitil	Corrects chemical imbalances in the brain which in turn helps to prevent nausea and vomiting.	Adrenal tumour, dementia patients as can increase stroke risk, breast feeding as can be passed on to the infant etc.	Low bp, dizziness, drowsiness, dry mouth, skin rashes, shaking / twitching etc. Sanofi (2015).
Tamsulosin	Reduces tension in the smooth muscle of the prostate & urethra, allowing	Severe liver function, hypersensitivity, postural hypotension etc.	Constipation, nausea, rash, weakness, vomiting etc. Actavis (2017).
Trajenta (Linagliptin)	To treat Type 2 diabetes mellitus	Medication allergy, pancreatic problems.	Headaches, nausea, joint pain, back pain etc. Boehinger Ingelheim (2019).
Tramadol	Treats moderate to severe pain.	Allergic reaction, suffer with seizures, kidney / liver problems etc.	Unpleasant withdrawal symptoms, tiredness, drowsiness etc. Milpharm Ltd (2018).
Warfarin	Anticoagulant: used to treat blood clots and DVTs, pulmonary embolism and stroke prevention in those with AF.	High INR, pregnancy, high blood pressure.	Heavier bleeding, joint pain & swelling, red / brown coloured urine, black / bloody stool. Sun Pharmaceutical (2019).
Zopiclone	Sleeping tablet to treat insomnia.	Allergic reaction, liver and kidney problems, myasthenia gravis (muscle weakness) etc.	Metallic taste in the mouth, dry mouth, daytime sleepiness. Merkle GmbH, Graf-Arco Strase (2018).

 

References.

Accord Healthcare Ltd, (2017) Amiodarone 100mg Tablets, Amiodarone 200mg Tablets (Amiodarone Hydrochloride) [Leaflet]. North Harrow: Accord Healthcare Ltd.

Accord Healthcare Ltd, (2019) Colchicine Tiofarma 500 mcg Tablets [Leaflet]. North Harrow: Accord Heathcare Ltd.

Accord Healthcare Ltd, (2019) Eplenerone 25mg film-coated tablets, Eplenerone 50mg film-coated tablets [Leaflet]. North Harrow: Accord Healthcare Ltd.

Accord, (2020) Bendroflumethiazide 2.5mg and 5mg Tablets [Leaflet]. Barnstable: Accord.

Accord, (2018) Digoxin 62.5 mcgs, 125 mcgs and 250 mcgs tablets [Leaflet]. Barnstable: Accord.

Accord, (2019) Prozac Fluoxatine 20mg Capsules (Fluoxatine Hydrochloride) [Leaflet]. Barnstable: Accord.

Accord, (2020) Spirolactone 25mg, 50mg and 100mg tablets [Leaflet]. Barnstaple: Accord.

Actavis, (2018) Amlodipine 5mg and 10mg tablets Amlodipine mesilate monohydrate [Leaflet]. Barnstaple: Actavis.

Actavis, (2019) Ferrous Sulfate 200mg tablets [Leaflet]. Barnstaple: Actavis.

Actavis, (2018) Levothyroxine 50 micrograms and 100 micrograms tablets [Leaflet]. Barnstable: Actavis.

Actavis, (2017) Lisinopril 2.5mg, 5mg, 10mg and 20mg tablets [2017]. Barnstaple: Actavis.

Actavis, (2017) Pamsvax XL 400 micrograms Capsules tamsulosin hydrochloride [Leaflet]. Hafnarfjour: Actavis.

APL Swift Services (Malta) Ltd, (2018) Losartan potassium 25mg film-coated tablets [Leaflet]. Birzobuggia: APL Swift Services (Malta) Ltd.

Aspar Pharmaceuticals Ltd, (2018) Aspirin Tablets 300mg [Leaflet]. London: Aspar Pharmaceuticals Ltd.

AstraZeneca UK Ltd, (2017) Losec MUPS 10mg gastrointestinal tablets / 20mg gastrointestinal tablets / 40mg gastrointestinal tablets omeprazole [Leaflet]. Luton: AstraZeneca Ltd.

Aurobindo Pharma Ltd, (2017) Citalopram 10mg film-coated tablets Citalopram 20mg, Citalopram 40mg [Leaflet]. South Ruislip: Aurobindo Pharma Ltd.

Aurobindo Pharma Ltd, (2020) Naproxen Tablets BP 250 mg Naproxen Tablets 500 BP mg [Leaflet]. South Ruislip: Aurobindo Pharma Ltd.

Bayer AG, (2019) Xeralto 10mg film-coated tablets rivaroxaban [Leaflet]. Leverkusan: Bayer AG.

Boehringer Ingelheim International GmbH, (2019) Trajenta 5mg film-coated tablets Linagliptin [Leaflet]. Rhein: Boehinger Ingelheim International GmbH.

Bristol Laboratories Ltd, (2018) Doxazosin 1mg, 2mg and 4mg [Leaflet]. Berkhampsted: Bristol Laboratories Ltd.

Bristol-Myers, (2019) Eliquis 2.5mg film coated tablets apixaban [Leaflet]. Dublin: Bristol-Myers Squibb/Pfizer EEIG.

Brown and Burk UK, (2017) Gabapentin Brown and Burk 100mg Capsules [Leaflet]. Middlesex: Brown and Burk Ltd.

Cadila Pharmaceuticals (Europe) Ltd, (2019) Odansetron 4mg and 8mg Tablets [Leaflet]. Harrow: Cadila Pharmaceuticals (Europe) Ltd.

Cipla (EU) Ltd, (2018) Finasteride 5mg film coated tablets [Leaflet]. Surry: Cipla (EU) Ltd.

Co-pharma, (2019) Predisolone Tablets BP 1mg and 5mg [Leaflet]. Watford: Co-pharma.

Consilient Health Ltd, (2010) Glucient SR 500mg prolonged-release tablets metformin hydrochloride [Leaflet]. Dublin: Consilient Health Ltd.

Crescent Pharma Ltd, (2019) Amitriptyline Tablets 25mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2016) Atenolol Tablets 25mg, 50mg, and 100mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2016) Furosemide Tablets 20mg and 40mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Folic Acid 5mg Tablets [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2019) Haloperidol Tablets 0.5mg, 1.5mg. 5mg, 10mg, and 20mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Ramipril 1.25mg, 2.5 mg.5mg.and 10 mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Simvastatin 10mg, 20mg & 40mg [Leaflet]. Overton: Crescent Pharma Ltd.

Daiichi Sankyo UK Ltd, (2019) Lixiana 15mg, Lixiana 30mg, Lixiana 60mg film coated tablets [Leaflet]. Plaffenhofen: Daiichi Sankyo Europe GmbH.

Dexcel Pharma Ltd, (2016) Nicorandil 10mg Tablets & Nicorandil 20mg [Leaflet]. Daventry: Dexcel Pharma Ltd.

Dexcel Pharma Ltd, (2019) Risperidone 0.5mg, 1mg, 2mg, 3mg, 4mg, 6mg Film-coated [Leaflet]. Daventry: Dexcel Pharma Ltd.

Fannin (UK) Ltd, (2020) Cetirizine Hydrochloride 5mg Tablets [Leaflet]. Wellingborough: Faninn (UK) Ltd.

Galpharm Healthcare Ltd, (2019) Paracetamol 500mg Tablets [Leaflet]. Braunton: Galpharm Healthcare Ltd.

Generics UK Ltd, (2018) Alendronic Acid 70mg Tablets sodium alendronate [Leaflet]. Potters Bar: Generics UK Ltd.

Generics UK Ltd, (2018) Pregabalin Mylan 25mg hard capsules [Leaflet]. Potters Bar: Generics UK Ltd.

Genethics Europe Ltd, (2018) Lorazepam 1mg and 2.5mg Tablets [Leaflet]. Nicosia: Genethics Europe Ltd.

Kyowa Kinn Ltd, (2017) Adacal –D3 Chewable Tablets Calcium carbonate (1500) and vitamin D3 (400I.U) [Leaflet}. Kyowa Kinn Ltd.

Menarini International, (2016) Renexa 375mg prolonged release, 500 prolonged release, 750 prolonged release Ranolazine [Leaflet]. Luxambourg: Menarini International.

Merkle GmbH,Ludwig-Merkle-Strasse, (2018) Zopliclone 3.75 mg, 7.5mg Tablets [Leaflet]. Blaubaran: Merkle GmbH.Ludwig-Merkle-Strasse.

Mercury Pharmaceuticals Ltd, (2015) Ferrous Fumarate 210mg Tablets [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Mercury Pharmaceuticals Ltd, (2019) Macrobid 100mg Prolonged-release Capsules Nitrofurantoin [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Mercury Pharmaceuticals Ltd, (2018) Zapain 30mg, 500mg Tablets Codeine Phosphate / Paracetamol [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Milpharm Ltd, (2019) Amoxicillin 250mg Capsules and Amoxicillin 500mg Capsules (Amoxicillin) [Leaflet]. South Ruislip:

Milpharm Ltd, (2017) Carvedilol 3.125mg, Carvedilol 6.25mg, Carvedilol 12.5mg, Carvedilol 25mg film-coated [Leaflet]. South Ruislip: Milpharm Ltd.Ltd.

Milpharm Ltd, (2018) Co-amoxiclav 500mg/125mg film-coated tablets (Amoxicillin / Clavulanic acid) [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2017) Gliclazide 80mg Tablets (gliclazide) [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2017) Flucloxacilllin 250mg Capsules BP, Flucloxacillin 500mg Tablets [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2018) Tramadol 50mg capsules Tramadol hydrochloride [Leaflet]. South Ruislip: Milpharm Ltd.

Mylan Products Ltd, (2016) Colofac Tablets 135mg Mebeverine hydrochloride [Leaflet]. Potters Bar: Mylan Products Ltd.

Noumed Life Sciences Ltd, (2018) Ranitidine 150mg Tablets, Ranitidine 300mg Tablets (ranitidine hydrochloride) [Leaflet]. Maidenhead: Noumaed Life Sciences Ltd.

Pfizer Ltd, (2015) Deltaparin Fragmin 10,000 IU/0.4 ml, 12,500 IU/0.5ml [Leaflet]. Kent: Pfizer Ltd.

Pfizer Ltd, (2019) Atorvastatin 10mg, 20mg, 40mg & 80mg film-coated tablets [Leaflet]. Kent: Pfizer Ltd.

PLIVA Pharma Ltd, (2017) Lansoprazole 15mg gastro-resistant tablets, Lansoprazole 30mg gastro-resistant tablets [Leaflet]. Castleford: PLIVA Pharma Ltd.

Relonchem Ltd, (2016) Relosorb XL 60mg Tablets Isosorbide 5-momnitrate [Leaflet]. Widnes: Relonchem Ltd.

Rosemont Pharmaceuticals Ltd, (2019)  Rivastigmine Rosemont 2mg/mL Oral Solution [Leaflet]. Leeds: Rosemont Pharmaceuticals Ltd.

Sandoz Ltd, (2019) Bisoprolol Fumarate 1.25mg, 2.5mg, 3.75mg and 7.5mg Film coated Tablets [Leaflet]. Camberley: Sandoz Ltd.

Sanofi, (2019) Buscopan 10mg tablets (hyoscine butylbromide) [Leaflet]. Guildford: Sanofi.

Sanofi, (2018) Tildiem 60mg Modified-Release Tablets Diltiazem hydrochloride [Leaflet]. Guildford: Sanofi.

Sanofi, (2015) Stemetil 5mg Tablets prochlorperazine maleate [Leaflet]. Guildford: Sanofi.

Swiss Caps GmbH, (2019) Fultium-D3 800 IU Capsules (Coleraciferol) [Leaflet]. Huddersfield: Internis Pharmaceuticals Ltd.

Sun Pharmaceuticals Ltd, (2019) Warfarin 0.5,1,3 and 5mg Tablets (Warfarin Sodium) [Leaflet]. Hoofddorp: Sun Pharmaceuticals Ltd.

TEVA UK Ltd, (2019) Allopurinol 100 and 300mg tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2016) Baclofen 10mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2018) Bumetanide 1mg and 5mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UL Ltd, (2019) Diazepam 2mg, 5mg, and 10mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2016) Loratadine 10 mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

Trotwood Pharma Ltd, (2017) Dexamethasone 500mcg Dexamethasone 2mg Tablets [Leaflet]. Odiham: Trotwood Pharma Ltd.

Wockhardt UK Ltd, (2020) Codeine Phosphate 15mg and 30mg Tablets [Leaflet]. Wrexham: Wockhardt Uk Ltd.

Wockhardt UK Ltd, (2018) Quinine Sulfate 300mg Coated Tablets [Leaflet]. Wrexham: Wockhardt UK Ltd.

During the coronavirus lockdown we held twice weekly free CPD webinars for both members and non-members, with the aim to continue to provide valuable learning and to create a sense of community whilst we were all unable to work. The webinars were very well received and covered topics such as verruca, skin cancers, PRP vs prolotherapy and many more.

 

As the lockdown gradually eases and we are able to return to patients, we have decided to reschedule the webinars to a weekly evening format. Every Wednesday at 7.30pm we will host, via Zoom, a subject requested by you, our colleagues, friends and fellow professionals.

 

To join one of our sessions please visit our Facebook page or email your interest to media@iop-uk.org we look forward to seeing you there.

 

DO YOU HAVE A SUBJECT REQUEST? LET US KNOW! media@icop.org.uk

Up to 80% of the population are estimated to need the services of either an NHS or private podiatrist at some stage of their life, to deal with health problems of the feet. Whilst parts of the profession have continued to provide urgent emergency treatments during the current pandemic, podiatry now has to work out new methods of returning to its additional roles of regular preventative care for the many millions of people, including many  vulnerable people such as diabetics, who need such care every year. Podiatrist Martin Harvey, chief executive of the national professional body the Institute of Chiropodists and Podiatrists said; “our members face the challenge that in order to work on peoples feet we are certainly not socially distant, so we have had to implement and develop new systems of working giving the maximum possibly safety to patient and podiatrist alike. Let me reassure the public that as regulated Health Professionals we are ensuring that we adhere to the highest possible standards of personal protection equipment and your feet are as safe as we can possibly make them in our hands. Members of the public can see the detailed guidance available to our members on the Institutes website https://www.iop-uk.org “

Dear members,

We have sourced some protective visors for your use. The visors are being printed by students in Hertfordshire using 3D printers. The students are creating the visors for frontline staff who cannot obtain, afford and/or access PPE.

The Institute of Chiropodists and Podiatrists, as well as The College of Foot Health, are proud to support the students efforts by covering costs of materials. Please note the visors available via The Institute are being sold on at cost price and no profit is being made by either us or the students involved.

Alternative visors and PPE equipment is available via our trusted trade partners as set out in May newsletter.

If you would like to order a pack of 10 visors, cost £10 per pack, and help support the students efforts please email info@iop-uk.org

Stay Safe.

The Institute of Chiropodists and Podiatrists Position Statement

 

 Since the lockdown began, Chiropody and Podiatry services have been exempt from premises closure and it may be reasonable to assume that exemption holds for domiciliary treatments as well. We have attempted to help members with our suggested ‘traffic light’ system of stop, proceed with caution and go, whilst advising that all specific laws concerning COVID-19 should be rigidly adhered to. We have also advised members of the College of Foot Health to adhere to these standards as well. The Prime Minister’s announcement, asking people where possible to return to work, does not appear to materially change the caution that we advise members to exercise, as they will naturally be treating patients within a closer proximity than social distancing stipulates. We still regard it as essential that you have the PPE documented by Gov.uk regarding: ‘COVID-19: how to work safely in domiciliary care in England‘ and also ‘Guidance on the use of personal protective equipment (PPE) for non-aerosol generating procedures (APGs)‘ as well as ‘COVID-19: personal protective equipment use for aerosol generating procedures‘  Please note that we are unable to confirm that any form of drilling, be that unfiltered, vacuum or spray is NOT an ‘aerosol generating procedure’ due to variations in drills, their technology and patients personal hygiene and other  situation-specific variable factors. Note the dictionary definition: “An aerosol (abbreviation of “aero-solution”) is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog, mist, dust, forest exudates and geyser steam”

In short, please follow the newly revised official dictum of “Stay Alert. Control The Virus. Save Lives”

 

All members of the Institute of Chiropodists and Podiatrists (IOCP) and College of Foot Health can now access eIntegrity’s e-learning resources to support their professional development.

Members can use the Statutory and Mandatory Training, Dementia e-Learning Programme and Antimicrobial Resistance learning sessions. The programmes have been chosen for their relevance to practitioners in the IOCP – which represents HCPC[1]-registered podiatrists, podiatric surgeons and chiropodists in the UK.

Beverley Wright, Vice-Chair of the Board of Education, from the IOCP, said: “We’re pleased to offer these three programmes as a free benefit to our members, as part of our commitment to them.

“The practice of health and social care is built on effective communication and the ability to problem solve. This can be achieved remotely via distance learning programmes, such as eIntegrity’s, to develop our members’ understanding of statutory and mandatory content on Government and health guidelines, rules and regulations, and to facilitate professional development. It provides a foundation for all working aspects of our members’ practice.

“In today’s society there are a number of aspects that underpin health and social care, where continued professional development (CPD) is required and needs to be considered when delivering care. These CPD resources help equip members with the knowledge and understanding of key health issues, focusing on the main conditions prevalent in our society today.”

Richard Bryant, from eIntegrity, said: “We are delighted to make our e-learning available to the institute. Now, more than ever, we know that health and care professionals are finding our e-learning resources invaluable to support their development.

“We look forward to building on our relationship with the institute in the longer term and finding out how best we can support their members.”

[1] Health and Care Professions Council

MEMBERS – please login to the members area of our website (top right) for full terms & conditions, user guides and for further details on how you can sign up.

 

28th April 2020

Dear Colleagues,

As we enter another week in this strange world in which a sub-microscopic bundle of RNA has hijacked Humanity, there are at least some green shoots on the horizon in respect of falling infection indicators.

 

The most commonly asked question from practitioner colleagues is “When should I return to work?” and that question encompasses several issues. First, naturally, is a question in return – “are you fit to return to work?”. You need to ensure above all else that you do not become a vector of infection yourself. The recently announced extension of testing, which as you know the Institute has been lobbying for since day 1, helps in that respect because you are eligible as a ‘key worker’. Then, “can you safely return to work, do you have the correct PPE?”. For that, some colleagues have stocks of PPE as routine, but if you do not the PPE market currently has been likened to ‘the wild west’ and ‘the international arms market’ – with justification because some of the dealers we have come across have inflated prices some 10 TIMES for masks for example.

 

Additionally, some colleagues have worried about their indemnity insurance cover – “is it still valid?” for example, which I am happy to report it is, provided you adhere to the IOCP ‘Traffic Light’ guide we have agreed with insurers, see our website www.iop-uk.org. Then other colleagues have asked whether it is mandatory for them to undergo testing before recommencing work, if they do not fall into the current required category for testing of ‘symptomatic or in contact with symptomatic individuals’ – in respect of this I have kept in close contact with our statutory regulating body the HCPC and their Chief Executive, John Barwick’s, most helpful letter of today’s date to me forms the specific answer to that. The letter is copied in to the end of this document.

 

I hope that the above answers a few of the commonest queries, and on a lighter note I must say how much myself and a couple of other Directors of the IOCP; Bev Wright and Caroline McCartney are enjoying the webinars we are collaborating on providing – see our website and Facebook about our wed-inars and fri-inars (on Wednesdays and Fridays if you have not guessed) . Good CPD, but for all that not too serious or pompous we trust (as if we would! Since the Institute was founded in 1938 I hope we have always kept in mind that the word “Pomposity” DOES NOT equal “Professional”).

 

Anyway, I will close by wishing you all the absolute best, stay safe and well and warmest regards. Martin Harvey.

 

Letter from Mr John Barwick, Chief Executive and Registrar HCPC:

 

Dear Martin

Thank you for your emails regarding the Government’s recent announcements concerning the extension of testing for key workers, and for sharing IOCP’s ‘traffic light’ guidance.

In response to your question whether testing will be a mandatory requirement for registered professionals, there is no mandatory requirement however we would expect any decision taken by a registrant to decide whether or not to seek a test to be taken in the context of standards 6.1 – 6.3 of the Standards of Conduct, performance and ethics. Guidance and advice is provided to registrants via our Covid-19 hub  https://www.hcpc-uk.org/covid-19/advice/applying-our-standards/managing-risk/

 As you note, the current testing only relates to antigen testing to determine whether you have the virus following presentation of symptoms rather than the antibody tests to determine whether you had the virus. Regarding the later, unfortunately I don’t have any further information regarding the government’s plans other than that is already in the public domain. We will however continue to update the Frequently Asked Questions section on our website to reflect questions regarding testing as the situation develops.

I hope this is helpful.

Kind regards

John Barwick

Chief Executive and Registrar

17th April 2020

Dear Ministers and Professional Regulators

 

An open letter

Podiatry – A caring profession in the shadows

 

I write further to my previous letter highlighting that whilst we as a profession applaud the wonderful selfless efforts of front-line staff in other areas of health care fighting the current dreadful disease, podiatry faces major challenges both now and for the future that could if unchecked irreversibly damage our profession and the care that we give to millions of UK citizens.

 

In addition to some NHS podiatry care, more than 50% of podiatry treatments are delivered in the private sector by private clinics, including some of the most advanced therapies for treating the feet and associated structures as well as the specialist care that we give to the feet of people with diabetes, infections, damaged joints etc plus routine foot care to maintain the foot health of millions of elderly and vulnerable people and therefore their mobility and consequently their general health and quality of life.

 

I must point out there is now a real danger that the private sector especially may find its businesses destroyed due to lack of support and resources, and therefore our ability to care reduced beyond a level of sustainability which could mean millions of new cases being presented to the NHS.

 

Let me be clear, I am not talking about just trimming nails and digging out the odd corn which is still a perception of what we do amongst certain other sectors of healthcare about Chiropody/Podiatry (although that is also essential if you cannot do it yourself) but diabetic amputations being necessary because routine regular specialist care has not been given, unchecked osteomyelitis developing and potentially killing people for the simple lack of a foot wound being knowledgably cared for and treated by a podiatrist and so many other specialist tasks that our profession quietly performs day in and day out.

 

I have been receiving reports from private practitioners of their total inability to source PPE, of local councils treating private clinics less well than local non-health related retail shops for grants and rates relief and other instances of inequality and recognition too frequent to mention. As for any prospect whatsoever of CV-19 testing for the private (and indeed NHS) podiatry workforce, I am not aware of any mention of this being suggested and neither is my organisation as one of the UK’s oldest professional Podiatry/Chiropody bodies.

 

I would request that as a matter of the most extreme urgency you reach out to UK podiatry and give us, or at least facilitate supply of, the tools, support and recognition to do our job. If private clinics fail then the resultant overload could destroy any semblance of ability to cope by either our NHS colleagues or by other area’s of medicine who are neither trained, qualified or equipped to perform our specialist care.

 

Yours In Hope

Martin Harvey, FPodM, PGC, BSc

HCPC Registered Podiatrist Independent Prescriber

Chair of Executive Council, Institute of Chiropodists and Podiatrists

 

 

 

Now in its second year, The College of Foot Health Ltd, was established and fully accredited by the UK professional organisation The Institute of Chiropodists and Podiatrists to clearly announce and support the professional status of Foot Health Practitioners.

In more recent months our team have been working with Health Education England (HEE) on the Foot Health Consortium, established to set an agreed benchmark for training, standards, ethics and continuing professional development within the profession.

As a result of this and with the continuing growth and requirement for Foot Health Practitioners within our society/community, we are delighted to launch our dedicated social media pages specifically for Foot Health Practitioners. You can follow us now via twitter @TheCoFH and like our page @TheCoFH on Facebook, where we will be sharing all FHP related articles from our dedicated newsletter, information on CPD training, events and details on our online course to become an FHP.

Whilst the Coronavirus pandemic has changed the ways  in which we are all working, or not in many cases, people around the world are embracing and testing boundaries of modern technology. This is also true of our team at Head Office. As always the IOCP are committed to maintaining and offering our members the best possible service and support until such a time that we can start to go back to normal.

Therefore we have launched weekly Wednesday webinars, aptly dubbed “Wed-inars” to keep members and fellow podiatry colleagues in-touch and earning CPD during our period of downtime. It’s FREE, it’s for YOU!

Our first webinar was held on the 1st April and was warmly received by all attendees. If you missed it, a recording of the meeting can be found via our events pages or via our social sites.

The subjects are added to our events calendar on our website. You can register either via our Facebook page or by emailing info@iop-uk.org with the subject line “Wed-inar CPD”.

From the 17th April, we will be introducing FHP Fridays for our Foot Health Practitioner friends of The College of Foot Health. More details of these will be released shortly.

If you are a Podiatrist or a FHP and would like a specific topic covered please get in touch and we’ll see what we can do!

Stay Safe.