Page 23 - My Clinic Employee Handbook Draft V.1

Patients must have a diagnosis of recurrent cystitis to avail of a prescription through MyClinic.ie. The patient
should fill in the safety questionnaire to ensure there is no contraindication to trimethoprim.

If the doctor is satisfied that there is no contraindication to using Trimethoprim and the patient has an
uncomplicated UTI then a prescription for trimethoprim 200mg bd po for three days can be provided to the
patient. This will often need to be faxed to a pharmacy to allow the individual to commence the medication as
soon as possible.

If the doctor is concerned the patient may have a complicated UTI then the patient should be directed to see a
GP for a face to face consultation for a thorough history, examination and urinalysis. The urine may need to be
sent for culture and sensitivity in the microbiology laboratory. The patient should be advised of this.

Helpful guidance for management of cystitis in primary care.

https://www.hse.ie/eng/health/az/b/bladder-infection/introduction.html
https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/urinary/adult-
uncomplicated-uti/adult-uncomplicated-uti.html

11) Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a chronic condition characterised by abdominal pain associated with bowel
dysfunction. The pain is often relieved by defecation and is sometimes accompanied by abdominal bloating.
There are no structural abnormalities to explain the pain. IBS occurs in about 15% of the adult population. The
aetiology is probably multi-factorial and evidence suggests motility, inflammatory, genetic, immune,
psychological, and dietary components.

Symptom relief is important and prescribing antispasmodic medications can be helpful for some individuals with
this condition.

Patients are required to fill out a safety questionnaire to ensure there is no contraindication to using this
medication. The safety questionnaire is also to ensure the patient has no red flag symptoms such as blood in the
stool.

If the doctor has any concern that the patient’s diagnosis may not be accurate the patient should be directed to
link in with their own GP.

Buscopan or colpermin at the appropriate dose can be prescribed through MyClinic.ie.
These are also available over the counter in pharmacies throughout Ireland.

A three month prescription can be issued for this condition.

https://bestpractice.bmj.com/topics/en-gb/122
https://www.nice.org.uk/guidance/cg61

Page 22 of 75
ORC.MYC.DV1