MEDICINES “SICK DAY” GUIDANCE

 

 

 

When you are unwell with any of the following:

 

  • PERSISTENT vomiting or diarrhoea

  • Fever WITH significant sweating and shaking

 

Omit taking the medications listed below.

 

These medications are all very important, but when you are seriously ill or become dehydrated, THEY MAY cause side-effects.

 

These medications can be restarted once you start eating and drinking normally after 24-48 hrs. If your sickness lasts longer than that, you would be best advised to seek medical attention

 

If you have diabetes and usually monitor your  blood glucose at home, increase the number of times you check your blood glucose levels. If they run too high or low, contact your diabetes team.

 

If you are on insulin, seek medical advice regarding dose adjustment if uncertain - but never stop insulin.

 

If you are in any doubt, contact your pharmacist, GP or nurse.

 

 

 

MEDICATIONS TO OMIT TEMPORARILY

 

Metformin

 

SGLT2 inhibitors:    

medicine names ending in “flozin” - eg.canagliflozin, dapagliflozin, empagliflozin

 

GLP-1 inhibitors:     

medicine names ending in “tide” - eg. exenatide, liraglutide, dulaglutide, lixisenatide

 

ACE inhibitors:                    

medicine names ending in “pril” - eg. lisinopril, perindopril, Ramipril

 

ARBS:                                                                                   

medicine names ending in “ARTAN” - eg. losartan, candesartan, valsartan

 

NSAIDs:                                                                                

anti-inflammatory pain killers - eg. ibuprofen, diclofenac, naproxen

 

Diuretics:                                                                  

sometimes called “water pills” – eg.furosemide,indapamide, bendrofluomethazide, bendrofluomethazide

Dr Ana Pokrajac MD MSc FRCP