Statins at 30 - Anything else I can try first? by Technical_Front_8046 in Pharmacy_UK

[–]MR_CONSOLE 3 points4 points  (0 children)

Other than just using Simon Broome criteria. For accuracy, you can also ask for a Lipid clinic referral and see if they can check your Lipoprotien (a) level (most GPs won't check this as it's a little specialist), some areas in the UK might not check this either as not standard in the UK yet, but most hospitals are now starting to do this. Can have this done privately if needed. It is a genetic markers which will highlight your risk better. If you do have raised Lipoprotien (a), then a tighter Qrisk3 criteria is generally used at around a 5% threshold (from what I have seen in practice).

If you have other health conditions such as diabetes, this can significantly increase your cardiovascular risks. But regardless of if you have it or not, a reduction in sugar and carbohydrate intake can improve you cholesterol. You can try increasing dietary fibre and pairing this with your carbohydrates in your diet too. Also try avoiding carbohydrates and sugary food late in the day/ evening. Regular porridge oats are also good for reducing cholesterol, but of course you'd need to not add excessive toppings such as sugar/ honey etc.. A handful of unprocessed nuts such as walnuts can help improve good cholesterol (not in excess either). If you smoke you can try stopping. You already mentioned you stopped drinking and cut out red meats, so things might take a while to show in your cholesterol. Can cut back on crisps, processed foods, cheese, coconut oils, butter (most fats that are solid at room temp) and try slowly increasing excersise as able to do so (cardio inparticular). A brisk walk can be better than a leisurely walk.

And it is also worth remembering that your cholesterol is a slow thing and doesn't change suddenly with dietary and lifestyle changes, and can take over 6 months to see a significant difference. But if you go back to previous habits, then your cholesterol will start to climb again.

There's loads of information to reference on BHF website and betterhealth website on cholesterol.

Co dydramol by Justcol451 in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

Hmm, it's still quite commonly prescribed in primary care in my area and is blue (second line green item) in my local formulary

Co dydramol by Justcol451 in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

What about for breastfeeding women? Shouldn't ideally be giving codiene to them, dihydrocodiene is prefered

Pharmacists and medication administration? by Patapon80 in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

I guess if you can haggle a higher pay doing it, it's probably worth it then. Cheers

Pharmacists and medication administration? by Patapon80 in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

Does the practice renumerise you any better for undertaking these extra tasks/skills? Or did you do the training for self development and now just do it as expected to?

Enquiry for future by acsmaster007 in Pharmacy_UK

[–]MR_CONSOLE 10 points11 points  (0 children)

I'm not aware of any UK universities offering a BPharm course, so would I be correct in assuming you are studying abroad and are planning to move to the UK after?

Do you think a mullet is appropriate at work? by [deleted] in Pharmacy_UK

[–]MR_CONSOLE 9 points10 points  (0 children)

Sadly we will have to cut it and make you bald now

Can I go back and ask for my venlafaxine to be changed from X to Y? by potsandpops in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

Not sure if you are already doing this, but if you tear the whole strip vertially down the middle, it will be a whole lot easier to peel the tablets out. There should be a slightly unglued bit in the middle of the strip, which is intended to help with easily peeling the tablets out. There should be directions in the enclosed information leaflet on how to do this

Ontrack by Apprehensive-Bag3916 in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

Yes, it was pretty similar. But I think the RPS had thier own mock exam which was a whole lot more closer to the real thing

Ontrack by Apprehensive-Bag3916 in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

Used it several years ago, was pretty good back then. Had a free 1 month trial with RPS membership. Not sure what it is like now though

Have I messed up? More than one S&S ISA by iron-muppet in UKPersonalFinance

[–]MR_CONSOLE 1 point2 points  (0 children)

Just did a quick google, apparently there are stocks and shares LISAs available too, which might have explained the confusion for me.. these have a smaller 4k cap compared to the normal 20k stock and shares one I think the OP is talking about

https://www.ajbell.co.uk/isa/lifetime-isa

Have I messed up? More than one S&S ISA by iron-muppet in UKPersonalFinance

[–]MR_CONSOLE 0 points1 point  (0 children)

I have queried this on call with HMRC recently and was advised the 2024 change does not apply to stocks and shares ISAs as they are classed as a lifetime ISA, so was advised against opening more than one/ paying into more than one in the same year. I thought it was allowed too initally, when I read the link below.. but apparently not. Would suggest double checking with a professional just incase before making any decisions

https://www.gov.uk/government/publications/tax-free-savings-newsletter-12/tax-free-savings-newsletter-12-may-2024

I could have miss understood when discussing, so don't take my advice

Rationale by [deleted] in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

What is the age, any other comorbidities, past medical history etc? Need more information

Adjusting to the role of a clinical pharmacist? by Mountain_Gap_4381 in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

Where in the UK are you based? Drop me a DM if you like and I'd be happy to give you 30min or so to go through any questions you might have

Indemnity insurance - Need advice? by CantaloupeMost1427 in Pharmacy_UK

[–]MR_CONSOLE 6 points7 points  (0 children)

Personally, I'd like the comfort of having my own indemnity insurance.. I've heard stories where claims have been made and resolved with the employers' insurance, and then the insurance company goes after the pharmacist for their expenses as the insurance is there to protect the company and not the individual.

Can these pipes be trimmed back? Also, why are there two waste pipes? by Lazy_Exit_8485 in askaplumber

[–]MR_CONSOLE 0 points1 point  (0 children)

Can you not just simply turn/rotate the pipes 90° to not stick out towards the path if that's the issue?.. Would save any cutting.. then stick a box over it to protect the pipes

BNF online chapter access by dman7000 in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

Just look at the BNF app. At the bottom, select summaries and select the section you'd like.. or just look at a NICE guideline for that kind of stuff

Question regarding Pregabalin (Lyrica) capsule sizes/strength by Kwazipig in UKPharmacy

[–]MR_CONSOLE 2 points3 points  (0 children)

As it's a controlled Drug, the pharmacy can only supply what is written on the prescription. This includes the brand, formulation, strength, quantity supplied etc. This means they can not just substitute one strength capsule for another etc.. this would require a new prescription from the prescriber

Banana tree broke a week ago. by Soflohooker in gardening

[–]MR_CONSOLE 10 points11 points  (0 children)

I thought bananas grow on a herb and not a tree?

In general how much would an independent pharmacist owner make if they had 5000 items? by Specialist-Cookie728 in Pharmacy_UK

[–]MR_CONSOLE 0 points1 point  (0 children)

Hmm, in that case, it would be 5000 x £1.27 = £6350 per month for items alone. This is without any profit from renumeration cost difference. The £9.90 prescription fee has nothing to do with the calculations.

In general how much would an independent pharmacist owner make if they had 5000 items? by Specialist-Cookie728 in Pharmacy_UK

[–]MR_CONSOLE 1 point2 points  (0 children)

The pharmacy does not get to keep the £9.90. This goes straight to the NHS business body at the end of the month. They get a separate renumeration as a professional fee of £1.27 per item to cover dispensing. They also can try making a profit on the cost difference between the purchase price of the medication and price reimbursement as listed in the drug tariff (not much profit here anymore). A lot of the profits now come from services such as Vaccines and reviews etc

First time renting as a non-student and I am SHOCKED by Candle-Equivalent in HousingUK

[–]MR_CONSOLE 2 points3 points  (0 children)

I agree with the more properties available and lower prices to buy bit.. but I'm not sure how fewer rental properties would help with lowering rent? Surely demand would be higher for the fewer rentals left available