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
medicine names ending in “flozin” - eg.canagliflozin, dapagliflozin, empagliflozin
medicine names ending in “tide” - eg. exenatide, liraglutide, dulaglutide, lixisenatide
medicine names ending in “pril” - eg. lisinopril, perindopril, Ramipril
medicine names ending in “ARTAN” - eg. losartan, candesartan, valsartan
anti-inflammatory pain killers - eg. ibuprofen, diclofenac, naproxen
sometimes called “water pills” – eg.furosemide,indapamide, bendrofluomethazide, bendrofluomethazide