Question

Hello, i would appreciate the help.

MT approaches the prescription to request Cataflam® (potassium diclofenac) from JR who has a fever. MT indicates that JR came home today after work, feeling a fever and a general malaise in his body. Already at work he had sweated a little and had given him slight chills. When he got home he had gone to bed due to discomfort. MT touched his forehead but it wasn't that hot. He also considered that it was something temporary since other JR co-workers had experienced the same symptoms but the next day they had gone to work. JR is 35 years old but has no children yet. He does not take any other medication and has previously presented an allergy to penicillins.

According to the information of the case, which medication would you select to lower the patient's fever?

What is the mechanism of action and its adverse effects?

If you did not choose Cataflam®, explain why?

Answer 1

Based on the information provided, Cataflam® (potassium diclofenac) may not be the most suitable medication to lower the patient's fever. Let's analyze the reasons:

Step-by-step explanation:

• Assessment of the patient's symptoms: The patient, JR, has a fever along with a general malaise, sweating, and slight chills. It is important to note that JR's fever is not described as very high, and MT mentioned that his forehead did not feel hot. These factors suggest that JR's symptoms may not be severe or require immediate intervention.

• Consideration of the temporary nature of the symptoms: MT mentioned that JR's co-workers had experienced similar symptoms, but they were able to go to work the next day. This implies that the symptoms might be self-limiting and could resolve on their own without the need for medication.

• Allergy to penicillins: It is stated that JR has a history of allergy to penicillins. Since Cataflam® is not related to penicillins, this alone does not exclude its use. However, it is essential to consider a patient's allergies when selecting any medication.

Considering the above points, a conservative approach would be to monitor JR's symptoms, provide supportive care (such as rest and hydration), and let the fever run its course naturally. If the fever persists or worsens, it would be advisable for JR to seek medical attention for further evaluation.

Cataflam® (potassium diclofenac) is a nonsteroidal anti-inflammatory drug (NSAID) that primarily works by reducing inflammation, pain, and fever. However, it is associated with potential adverse effects, including gastrointestinal disturbances (such as stomach pain, indigestion, and ulcers), cardiovascular risks (like increased blood pressure and risk of heart attack or stroke), and kidney problems. Given the mild nature of the symptoms described and the potential risks associated with NSAIDs, it may be prudent to explore non-pharmacological options and closely monitor JR's condition before resorting to medication.

Please note that the information provided here is for educational purposes only, and it is important to consult a healthcare professional for personalized medical advice and treatment decisions.