Helping - GreenCross Publishing
Transcription
Helping - GreenCross Publishing
assistant pharmacy Issue 3 Volume 4 • a u t u m n 2 0 11 Helping the medicine go down Swallowing pills: problems and solutions Headlice beating the beasties Fish for sport Part 3 of our series for e500 holiday voucher – plus super follow up prizes The fundamentals of skin care Katie Power MUCUS TAKING HOLD? BEN/045/00 HELP GET IT OFF YOUR CHEST McNeil Healthcare (Ireland) Limited, Airton Road, Tallaght, Dublin 24, Ireland. PA 823/35/1. This product is not subject to medical prescription. Further information is available upon request. 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Itseyecatching,pricesaregood,and Eamonn Brady, Whelehans Pharmacy, ordersaredeliveredquickly.” and have a great loyalty to our 38 Pearse St, Mullingar. “Therangehasbeenahugesuccess. Eamonn Brady, Whelehans Pharmacy,to offer Pharmacy. We are delighted Itseyecatching,pricesaregood,and “Customer’strustourname,andhave 38 Pearse St, Mullingar. an own brand range that brings real ordersaredeliveredquickly.” agreatloyaltytoourPharmacy.Weare Eamonn Brady, Whelehans Pharmacy, “Customer’strustourname,andhave savings in these difficult times.” delightedtoofferanownbrandrange 38 Pearse St, Mullingar. agreatloyaltytoourPharmacy.Weare Sean Foley, Meath Street Pharmacy thatbringsrealsavingsinthesedifficulttimes.” delightedtoofferanownbrandrange Sean Foley, Meath Street Pharmacy and Foley’s “Customer’strustourname,andhave and Foley’s Pharmacy, Thomas St., thatbringsrealsavingsinthesedifficulttimes.” Pharmacy, Thomas St, Dublin 8. agreatloyaltytoourPharmacy.Weare Dublin 8. Meath Street Pharmacy and Foley’s Sean Foley, delightedtoofferanownbrandrange Pharmacy, Thomas St, Dublin 8. thatbringsrealsavingsinthesedifficulttimes.” Sean Foley, Meath Street Pharmacy and Foley’s Pharmacy, Thomas St, Dublin 8. Tel. 021 4318875 Fax. 021 4318727 Tel. 021 4318875 Fax. 021 4318727 [email protected] [email protected] Tel. 021 4318875 Fax. 021 4318727 [email protected] assistant pharmacy • a u t u m n 2 0 11 contents Issue 3 Volume 4 Pharmacy Assistant is produced by GreenCross Publishing as a supplement to Irish Pharmacist. GreenCross Publishing is a recently established publishing house which is jointly owned by Graham Cooke and Maura Henderson. Graham can be contacted at grahamgreencrosspublishing.ie Maura at mauragreencrosspublishing.ie © Copyright GreenCross Publishing 2011 2 5 9 13 21 25 29 The contents of Pharmacy Assistant are protected by copyright. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form by any means – electronic, mechanical or photocopy recording or otherwise – whole or in part, in any form whatsoever for advertising or promotional purposes without the prior written permission of the editor or publishers. News Helping the medicine go down Swallowing pills – problems and solutions. Make up workshop Fundamentals of skin care Katie Power from the School of Make-up Artistry in Galway shares her tips on skin care. Competition – Essential fats draw Part 3 of a 4 part series on the benefits of essential fats. Gaye Godwin discusses the many benefits of omega 3 for sportspeople. Hot topic Headlice – getting down to the nitty gritty. Products Crossword Disclaimer The views expressed in Pharmacy Assistant are not necessarily those of the publishers, editor or editorial advisory board. While the publishers, editor and editorial advisory board have taken every care with regard to accuracy of editorial and advertisement contributions, they cannot be held responsible for any errors or omissions contained. p h a r m ac y a s s i s ta n t 1 in the news... New degree for pharmacy technicians The Athlone Institute of Technology has announced details of a new add-on degree for pharmacy technicians. The new BSc in Clinical Pharmacy Practice (Level 7) will provide pharmacy technicians with an opportunity to advance their role in pharmacy practice by providing technicians with additional skills in the areas of clinical pharmacy, medicines management, purchasing, clinical governance, ethics and aseptic practices. It is envisaged that upon completion of this course the pharmacy technician will be appropriately equipped to lessen the workload of the pharmacist by taking on business-related tasks, assisting with the decision-making process in relation to practice management and clinical issues, while supporting and enhancing the quality of the healthcare provision. The new programme will also feature a unique work placement module, which will enable technicians to gain valuable experience of the culture, nature and structure of a working environment in the field. Commenting on the launch of the new programme, Dr Pearse Murphy, Head of Department of Nursing and Health Science, said this new degree will enhance the skill sets that our graduates bring to the workplace and equip them for a wider variety of jobs. “The role of pharmacists is evolving to a more patient-centred approach and pharmacy technicians are required to bring new competencies that will support this development,” he said. Applications are currently being accepted for this new degree programme, which is open to pharmacy technicians who hold a higher certificate (Level 6) qualification in this area. For further information log on to: www.ait.ie/add-on. AIT’s Admissions Office can be contacted by email at admissions@ ait.ie and via phone on 090 646 8130. The Pharmaceutical Assistants Association Annual Conference and AGM 9th October 2011 Ashling Hotel, Parkgate Street, Dublin 8. (A dinner will be hosted by the Pharmaceutical Assistants Association on the previous evening at 8.00pm in the same venue.) The conference will start with registration at 9.30am on Sunday. Speakers 11.00am Anna Clarke (Diabetic Association) 12.00pm Elaine Orr (RoC) 1.00 pm Lunch The AGM will commence at 2.00pm. New members are very welcome Those expecting to attend should contact: Maureen Lambe, 55 Mount Prospect Drive, Clontarf, Dublin 3. Email: [email protected] 2 p h a r m ac y a s s i s ta n t Nurofen Express roadshow At the recent Nurofen Express roadshow were Hazel Phelan, Donal Mac Conaill and Frances Mannion. (Hazel and Francis are from Collins Pharmacy, Phibsboro and Donal is from Errigal Pharmacy, Drimnagh). Tooth whitening products over the internet – “dangerous” The Irish Dental Association has warned patients of the danger of many tooth whitening products saying many of them range from ‘useless to dangerous’. The Association has also expressed its concern about unsupervised tooth whitening. The warning coincides with new plans from the European Commission to regulate the use of hydrogen peroxide, the chemical used in tooth whitening. Under the new regulations, which should come into force this month, only fully qualified dentists will be permitted to provide this service. Tom Feeney, IDA representative on the Council of European Dentists, and a Dublin based dentist believes regulation of the sector is long overdue and said the new measures would safeguard patient safety which is the number one priority. ‘Dentists are fully qualified to carry out a full oral examination, make a diagnosis on the basis of that examination and the patient’s full dental history and then decide if the use of a tooth whitening product is appropriate. Other people practising tooth whitening do not have the ability to do that and the use of tooth bleaching products may be totally inappropriate and may cause serious problems. There are also issues to do with infection control, the safe disposal of contaminated waste and indemnity insurance issues so we hope the Minister for Health, Dr James Reilly will fully support this measure’ Feeney said. Feeney warned that some teeth whitening products available on the internet contain very high levels of hydrogen peroxide and these could be lethal in the wrong hands. At the other end of the scale some products contain very low levels of hydrogen peroxide and these are next to useless. ‘To be effective a product has to have over 3% hydrogen peroxide and the new regulations from the European Commission will prohibit products containing over 6% hydrogen peroxide. The new regulations will ensure that properly qualified dentists are carrying out what is a dental procedure and that safe products are being used.’ Feeney said. Feeney also advised pregnant women and young people under 16 not to have their teeth whitened. ‘Tooth whitening is a safe procedure if carried out by a dentist but it’s a procedure which shouldn’t be repeated too often and maintaining good dental health should be the priority. As a rough guide once a year should be sufficient. We don’t recommend it for pregnant women, children under 16 or heavy smokers or drinkers as it can cause particular problems for each of these groups’ Feeney concluded. in the news... Allergies are good for something! Taller women more likely to get cancer For people who are plagued with allergies the notion that they might provide some benefit sounds like a sick (pun intended) joke. For some time scientists have speculated that the presence of allergies is a sign that our immune system is working. It is argued that allergies are the body’s response to the presence of allergy triggers such as dander and pollen. But the good news is that while the body is reacting against these everyday items, it may also be attaching budding cancer cells. For the past twenty years it has been noted that people who suffer from everyday allergies such as asthma, eczema and hayfever a have slightly lower risk of getting certain cancers. Danish researchers decided to investigate and they recently published their findings in the BMJ Open online journal. The researchers tracked 17,000 adults who were tested for contact allergies between 1984 and 2008. Contact allergies are reactions to contact with metals (nickel), poison ivy, hair dye, and other materials which can cause skin irritation. After checking the subjects long-term health against the Danish national cancer registry they discovered that people with allergies had lower rates of skin and breast cancer. Interestingly they found a link between contact allergies and a greater risk of cancer of the bladder which they attributed to an allergy to hair dye. A previous study had already suggested a link between bladder cancer and the use of hair dye. Skin allergies prompt the production of immune system T cells. The authors speculate that when the immune system goes into ‘overdrive’ in this fashion any cancer cells are also attacked and destroyed. Taller women are more likely to develop cancer according to the largest study of links between height and the disease. According to the study which was published in the journal, Lancet Oncology, a woman’s chance of getting cancer rises by 16% for every extra 4 inches in height. The study which analysed data on some 97,000 women with cancer who were between 5ft and 5ft 9in tall showed that taller women have a higher risk of getting at least 10 types of cancer, including breast, ovarian, skin and bowel cancer, as well as malignant melanoma and leukaemia. In woman of average height the overall incidence of cancer is 850 cancers per 100,000 women per year. In those around 5ft tall it is 750 cancers per 100,000 women per year. But in those around 5ft 9in, it is about 1,000 cancers per 100,000 women per year. The research found that for every extra 4in in height, the risk of breast cancer rose by 17%, of ovarian cancer by 17%, and of womb cancer by 19%. The exact reason for the link is unclear but the researchers speculate that hormones linked to growth in childhood could also result in a greater risk of cancer in later years; and that tall people simply have more chance of cancerous cell changes because they have more cells. “The most likely explanation is that hormonal changes that are related to tallness in women may also be related to growth abnormalities, especially in the breast, that lead to cancer,” said Professor Karol Sikora, the medical director of CancerPartnersUK private treatment centres. “Dietary factors may also be important, especially in relation to the dramatic rise in the incidence of colorectal cancer in tall women.” Sara Hiom of Cancer Research UK said: “Tall people should not be alarmed by these results. Most people are not a lot taller than average, and their height will have only a small effect on their cancer risk.” Correction News item page 6 An error appeared on page 6 of our last issue. The headline read: Gum disease kills two Irish people every week. It should of course have read: Mouth cancer kills two Irish people every week. We apologise for the error. p h a r m ac y a s s i s ta n t 3 NE W! A new invention... ...that makes tablets easy to swallow... ...and taste good. • MedCoat® offers an easy and effective solution for people with difficulty swallowing tablets. Trade price – €3.00 per single 1 doz in a counter display unit R.R.P. – €3.99 Available from all wholesalers Distributed by 094 9024000 he th al Helping the medicine go down – swallowing pills: problems and solutions Difficulties with swallowing pills and tablets can affect any age group but it has particular implications for children and older people. Such difficulties also give rise to problems in relation to medication compliance. p h a r m ac y a s s i s ta n t 5 h he al t M any people experience psychological as well as physiological difficulties when it comes to swallowing tablets. The act of swallowing medication is so simple for those of us who don’t suffer such problems; we simply place the tablet on our tongue and wash it down with a glass of water. But for those less fortunate fear alone can cause them to experience nausea and gagging during the few seconds between placing the pill on their tongue and reaching for the glass of water. This reaction is known as pill phobia. coated tablets – there is a reason why they are coated – some of the contents of these pills taste disgusting. And if you do manage to swallow the foul tasting powder, the moment it hits your stomach the chances are your system will reject it and you will simply vomit up the contents. The fear may lead many people to cease taking their prescribed medication altogether or to skipping their dose. Pill anxiety may even affect very young children. Toddlers can be so reluctant to take a pill that the whole experience can cause panic and fear in the child and be equally upsetting for the parent. Fear and loathing But difficulties with swallowing tablets are not confined soley to the very young and the very old. It has been estimated that up to 40% of those aged between 5 and 70 have avoided swallowing medication on one occasion or another either through fear or due to some physical problem. As often as not these generally healthy young and middle aged people are driven to various strategies to help them take so much as a vitamin pill. Some will cut the pill into tiny pieces or even crush them into powder. Others will try hiding the tablet in food. But the problem with crushing tablets and breaking them up is that some of the content may be lost, so the patient risks not taking the correct dose. Compliance As for older people, many of them suffer from a syndrome called ‘dry throat’ (see panel). Many such people reside in nursing homes or hospital. They may be suffering from dementia, and/ or loss of mobility. Some older people’s ability to swallow may be impaired because they suffer from dysphagia – a disease which often arises because of the presence of other problems such as reflux disease, stroke, spinal cord injury or cancer of the head, neck or oesophagus. For older people who might have to take several different kinds of tablet everyday this has serious implications, as failure to comply with a medication regimen can mean that they endanger their health and ultimately their life. Foul tasting The problem is made worse if the pill is coated or is a timerelease tablet. Tampering with a time-release pill is pointless and defeats the purpose of such tablets as the point of the medication is that it should dissolve in your body over time – for this to happen it must be swallowed whole. As regards Solutions Fortunately there are a number of ways of treating the condition depending on who suffers and whether the problem is physical or psychological. If the person is in hospital or a nursing home a feeding tube might need to be used. Obviously this is rather unpleasant and not practical on a long term basis. One Irish company providing a solution is Fannin Ltd, who in conjunction with their partner Rosemont Pharmaceuticals Ltd target swallowing difficulties through their range of liquid medicines. With their dedicated GMP manufacturing facilities based in the UK, Rosemont Pharmaceuticals Ltd has been providing liquid medicines for over 40 years. They are dedicated to research and development, manufacturing and marketing of oral liquid medicines, with a product range of more than 90 different oral liquid formulations, including corticosteroids, analgesics, diuretics, antibiotics and antpsychotics. Fannin Ltd is the exclusive Irish distributor of Rosemont Pharmaceuticals Ltd through Movianto and all other wholesalers. ‘‘ Dry mouth, also known as xerostomia, results when the glands that make saliva fail to work as they should. 6 p h a r m ac y a s s i s ta n t Need a liquid medicine? We deliver the perfect balance. Why should you have to compromise on the quality of medication needed by patients with swallowing difficulties? For over 40 years Rosemont has specialised in developing a diverse range of over 90 different oral liquid medicines for patients who battle to swallow traditional solid formulations. Each Rosemont product is easy to take and consistently achieves the desired performance. The vast selection and proven efficacy provides patients with a convenient new way to administer their medicine and help restore harmony to their lives. First Call for exempt sourced medicinal products* For Enquiries contact Fannin Pharmaceutical at: Tel: +353 1 290 7000 Fax: +353 1 290 7111 Email:[email protected] www.fannin.ie For ordering contact your local wholesaler or direct at: Tel: + 353 1 630 5555 FN 2010/06/001 Date of Preparation: June 2010 *Under Medicinal Products (Control of Placing on the Market) Regulations 2007 (SI 540 of 2007), it is permitted to supply products without a product authorisation on the order of a practitioner for a patient(s) under his/her care. Subject to Schedule 1 Requirements. h he al t A note on dry mouth Everyone suffers from dry mouth at some stage, either because we are nervous, under stress or suffering from a hangover. But if you have a dry mouth all or most of the time it can be uncomfortable and can lead to serious health problems. Besides interfering with speaking it can lead to tooth decay and interfere with your ability to swallow – not just food – but also medication. Symptoms of dry mouth include: • dry, rough tongue • trouble chewing, tasting, or swallowing, • trouble speaking • burning sensation in the mouth • dry feeling in the throat • mouth sores • cracked lips. Causes Dry mouth, also known as xerostomia, results when the glands that make saliva fail to work as they should. If this happens, there might not be enough saliva to keep the mouth wet. There are several reasons why salivary glands might not work properly. The person may have suffered nerve damage, be undergoing radiation or chemotherapy or be suffering from Sjögren’s syndrome, diabetes or HIV. Indeed quite often dry mouth arises as a side effect of medication. Another exciting introduction to the Irish market is the arrival of a product called Medcoat – a tablet-coating system enabling patients to easily and quickly apply a special coating to their pills or tablets. The coating masks the tablet¹s taste and makes the tablets slippery, making them much easier to swallow. Independent studies conducted by MedCoat have shown that 98% of people using Medcoat found it much easier to take their meds. This product should have a significant impact on problem with compliance. Finally, diseases that reduce the production of saliva can be treated with artificial saliva or over-the-counter and prescription drugs that stimulate the production of saliva. 8 p h a r m ac y a s s i s ta n t Treatment Anyone suffering from dry mouth should avoid caffeinated drinks such as tea coffee and cola. They should sip water and sugarless drinks throughout the day. This will make speaking and chewing easier. They should also avoid cigarettes, alcohol and salty good. There are a number of sugarless gums and lozengers available which also help to stimulate saliva. One of the more effective products for dry mouth on the market is BioXtra. In a recent double blind test on patients suffering with post-radiotherapy dry mouth - symptoms of dryness, chewing, swallowing, taste and speech difficulties and burning sensations were all greatly reduced. BioXtra is so effective because it mimics saliva¹s natural protective activity. ‘‘ Tampering with a time-release pill is pointless and defeats the purpose of such tablets… make-upworkshop The fundamentals of skincare Katie Power, School of Make-up Artistry, Galway The use of incorrect skin care products can be just as harmful for your clients’ skin as no skin care routine at all. I n order for us to look our best, it is important to maintain a good skincare routine. Many factors influence the state of our skin, for example, our stress levels, sleeping patterns, whether we are exposed to air conditioning and central heating on a regular basis, and of course poor diet – the list goes on. So we need to know what type of skin we are dealing with before we decide which products to use. Skin type You can help your client analyse her skin type by asking her a few simple questions. What is her skin like first thing in the morning – is it dull or greasy, does she prefer to cleanse using water or cotton pads? It is also important to ask her to take note of what her skin is like throughout the day – does she need to use face powder? Does it get shiny and if so, is it mainly down the centre panel of her face or on the cheek area? If her skin is quite greasy in the morning and it gets shiny all over her face during the day, she may have oily skin. If water on the face makes her skin feel tight and if her skin never becomes shiny during the course of the day, then her skin may be dry or dehydrated or even sensitive. If her skin tends to get shiny just on the centre panel, her skin type may be combination. p h a r m ac y a s s i s ta n t 9 make-upworkshop Characteristics of normal skin • Skin is neither tight nor greasy • Has an even skin colour • Pores are barely evident. Characteristics of dry skin • Dull complexion • Dry/flaky patches • Thin epidermis. Characteristics of oily skin • • • • • Greasy to the touch Shine all over face Prone to breakouts Sallow complexion Thicker epidermis. Characteristics of sensitive skin • • • • Red in colour Tends to be dry Reacts easily to external stimuli Feels tight after washing with water. combination skin As the name suggests combination skin type may be a combination of any of the above skin characteristics. Once your client’s skin type has been ascertained you can suggest products to suit her particular skin type. ‘‘ Morning cleansing is extremely important as it clears away the toxins and impurities which come to the surface of the skin during sleep. Daily care ’’ As we known, morning cleansing is extremely important as it clears away the toxins and impurities which come to the surface of the skin during sleep. Without morning cleansing and toning your customer risks causing congestion on her skin – leading to breakouts. Toning the skin is very important to help close the pores – by cleansing and not toning she raises the risk creating open pores. Equally important is part 3 of this ritual – moisturising is vital to protecting the skin. The sun protection factor (SPF) of the moisturiser is also important, remembering the fairer the skin type the higher the SPF needed. In saying this, even people with dark sallow skin need an SPF in their moisturiser. It is also important to cleanse, tone and nourish the skin before bed. While cleansing her skin at night, your client must ensure she removes every trace of make-up on her skin and in so doing she will also be removing the buildup of pollutants that have attached themselves to her skin during the day. Again toning is important to help close the pores. Depending on her age and skin type, a nourishing night cream may be needed, to help restore her skin while she sleeps. Care by skin type Cross section of the skin 10 p h a r m ac y a s s i s ta n t A client with oily skin should be advised to use a fluid cleanser. A toner with witch hazel or hexachlorophene, followed by a moisturiser which is oil-free and with an SPF. Cleansing and toning is also needed at night. However a night cream for women 30 years or younger is not necessary. A client with dry skin is better advised to use a cream (oilbased) cleanser, with an alcohol free toner, perhaps with rosewater. A cream moisturiser, with vitamin E and glycerine are good options, again with an SPF. Cleansing and toning at night is also needed, and a night, Nature’s purest gift... Soothing, Anti-irritating Anti-inflammatory Now Available nationwide in Ireland in selected pharmacies IE.AVE.10.11.04 ‘‘ make-upworkshop From the age of 30 onwards the skin’s production of natural oils begins to slow down, therefore from the late 20s onwards, anti ageing products may be introduced to the skin care routine. 12 p h a r m ac y a s s i s ta n t ’’ nourishing cream may also be added for clients 25 years or older. Clients lucky enough to have normal skin can opt for a milk (water based) cleanser, a skin freshner or tonic to tone the skin, followed by a light fluid moisturiser with an SPF. Cleansing and toning again at night. Normal skin clients, 30 years or younger do not necessarily need a night cream. Combination type Combination skin types should use skin balancing products. Many people suffer with dehydrated skin. This is common due to exposure to central heating and air conditioning, and also to not drinking enough water or fluids throughout the day. The difference between dehydrated skin and dry skin is that dehydrated skin is lacking in water and dry skin is lacking in oil. A tip for identifying skin type is to push gently with the side of the finger on the lower part of the cheek; if downward lines appear, your client is suffering from dehydrated skin. Even when the skin is excessively oily it may be lacking in water. It is then important to introduce water based products to the skin care routine. Glycerine is a good ingredient as it is a humectant, which will help attract water to the skin. Care through the decades From the age of 30 onwards the skin’s production of natural oils begins to slow down, therefore from the late 20s onwards, anti ageing products may be introduced to the skin care routine. Moisturisers should have the ability to penetrate through to the third layer of the skin. Eye cream is also essential, as the eye area has much thinner skin in comparison to the rest of the face – that is why it is the first area to show signs of ageing. Caffine-based eye cream will help stimulate the eye area: it also boosts circulation which in turn helps reduce the appearance of dark circles and puffiness. From the age of 40 our skin tends to develop more expression lines, especially around the forehead, eyes and the mouth. This is partly due to the effect of facial expressions such as smiling and laughing – our skin is required to contract and de-contract innumerable times each day. When we reach the 40 plus age group our skin does not de-contract as readily as it used to, therefore we need moisturisers which penetrate down to the fourth layer of the skin. Vitamin C is important in that it helps reduce the appearance of fine lines and wrinkles. From the age of 50, and with the onset of the menopause the skin becomes much drier. Rich creams with a high SPF are now essential. Products should be able to penetrate to the fifth layer of the skin. From the age of 60, skin becomes much finer. The best products for the older woman are ones that contain calcium and vitamin A which help repair and build the skin. For more information on skin or make-up, please log on to www. schoolofmakeupartistry.ie or email [email protected]. Essential fats series part 3 Fish for sport Gaye Godkin MPH, Nutrition (Hons) DipNT mNS The Ancient Greeks believed that good health could only be achieved by having a positive lifestyle. Hippocrates – often referred to as the Father of Medicine – favoured the use of diet and exercise as cures for illness and disease. H ippocrates believed that healthy lifestyle behaviour is the most important way to achieve long lasting health. This belief became know as ‘the regime’ meaning a combination of good food and exercise. His theory was simple: ‘If there is any deficiency in nutrition or insufficient exercise, the body will fall sick’. Today we know that diet and exercise are the essential components for health and wellbeing. Irish sport This is a very exciting time in Irish sport from golf to rugby to boxing, many of our professional athletes have done us proud and recently achieved prestigious international titles. The recent publication of ‘The Irish Sports Monitor Report’ compiled by the Economic and Social Research Institute on behalf of the Irish Sports Council, has revealed some positive changes in our attitude to sport in Ireland. They found that more people are now playing sports than ever. Participation rates amongst adults have increased from 30.8% in 2008 to 33.5% in 2009. These figures are positive but we still need to engage more people in sport to achieve good health as a nation. Swimming remained the most popular activity. According to the Irish Sports Council men are more likely to engage in sport than women. They compared rates of participation between males and females at the age of 20 years and found that only 36% of women played sport while men faired far better with 65% participation rates. Win a €500 holiday voucher! Improve your knowledge of the importance of fats in diet – in particular the lack of omega 3 in the Irish diet This is part 3 of a 4 part series on omega 3 fish oils. Parts 1 and 2 are available online at www.shieldhealth. ie. Shield Health has made this series possible through an educational grant. Please ask your Shield Health representative for a copy. At the end of each article there will be 5 questions. Once you have filled in the answers you should tear them off and return to the address below.• The entrants with the most correct answers will enter a draw for a holiday voucher worth €500. Runner up prizes will also be given. This is a unique educational opportunity for Pharmacy Assistants to increase their nutritional knowledge and win a prize while doing so. Please send answers to: The Editor, Pharmacy Assistant, 7 Adelaide Court, Adelaide Road, Dublin 2. Alternatively you can fax your answers to 01 4789449 or email [email protected] p h a r m ac y a s s i s ta n t 13 ‘‘ Essential fats series part 3 If you train hard, you’ll not only be hard, you’ll be hard to beat. Herschel Walker ’’ Impact on health and wellbeing Nutrition Exercise makes you feel and look healthier. It can improve your physical appearance, body posture, energy, mood and general outlook on life. It helps stave off chronic illness and disease. Many of our modern day illnesses are as a result of poor diet and lack of exercise. The onset of heart disease, high blood pressure, type 2 diabetes, obesity, high cholesterol, cancer, osteoporosis and arthritis can be prevented if we engage in physical exercise from an early age. A study called ‘growing up in Ireland’ looked at the lifestyle and dietary habits of children up to 9 years of age. It found low levels of activity in these children with 1 in 4 being either overweight or obese. Exercise is a fundamental part of health and wellbeing across the life-course from young to old. It is particularly important amongst the elderly. Regular exercise can slow down the onset of Alzheimer’s disease and is most effective in preventing mild depression. Muscle wasting (sarcopenia) leading to falls and fractures accounts for many deaths in the over 65s in Ireland. Being part of a club or group can also provide an opportunity to make friendships and prevent social isolation. Whether you are on or off the track the body needs a constant supply of nutrients for energy. When we exercise we use more energy and need to consume good foods to refuel. It is important to feed and nourish the body. The fuel of the body is glucose. It needs a constant steady supply. All foods can be broken down into glucose but carbohydrates do it faster than protein and fats. However excess carbohydrates are stored in the body as fats. Foods high in sugar, including fruit sugar, are in the main the cause of the obesity epidemic with fat having a lesser role to play. Many people hear the word fat and they run the other way. Essential fats, in particular omega 3, are an absolutely vital component in the diet and perhaps even more so for the sporty type person. Many studies have shown how consuming a diet high in omega 3 fats helps weight loss by increasing the body’s ability to burn fats. Sufficient good fats also improve satiety and appetite control and you are less likely to snack. Omega 3 message Fats serve as building blocks for every cell membrane in the body. Since the anti-fat, low-fat health education from 1970s many people are confused as to what they should actually be eating. Contrary to what many people believe, the body needs fat. Fatty acids play a key role in the construction and maintenance of all healthy cells. Essential fats are now gaining positive attention. Athletes are getting the message that good fats, in particular essential fats, have a crucial role to play in performance and recovery. Sports people have special needs regarding dietary fats. Getting the correct balance is essential for muscle and bone strength. Similarly, body composition and weight control are important to sports professionals. Omega 3 and muscle Many athletes are over-focused on reducing body mass and body fat below levels that are consistent with longterm health performance. It is important to achieve a 14 p h a r m ac y a s s i s ta n t Essential fats series balance between fat loss and muscle maintenance, repair and growth. Muscle stores energy in the form of glycogen. Under-nutrition will cause muscle to be broken down to supply energy to the body. Consuming a diet high in omega 3 fat from fish will provide a steady flow of nutrients to muscle cells. Studies have shown that EPA from omega 3 prevents the breakdown of muscle. EPA works by blocking the enzyme which causes muscle breakdown in the body. Vitamin D is a crucial component in muscle rebuilding and repair. Lack of vitamin D increases stress fractures in muscles. Omega 3 combined with vitamin D improves muscle power significantly. This combination has positive results in the prevention of sarcopenia – muscle wasting in the elderly. Omega 3 and inflammation Sports people tend to devote considerable attention to their diet. Athletes can over exercise. This places a huge strain on all body systems and can result in excess wear and tear. This process causes inflammation. Omega 3 is nature’s anti-inflammatory agent. EPA from omega 3 can halt and reduce the damage caused by excess inflammation. Similarly people who suffer from exercise induced asthma have shown promising results when supplemented with omega 3. Heart rate and pulmonary function are very important in sport. One intervention study found that athletes who consumed 1 gram of omega 3 daily for 3 months reported improved measures of pulmonary function. A greater heart beat improved the transportation of oxygen and nutrients to working muscles.There are a plethora of studies which have shown that athletes who supplement with a high quality fish oil have better recovery rates, less inflammatory induced injuries and overall improved performance. Similarly for sports that demand intense focus and concentration, omega 3 is a definite plus. Sportspeople benefit most when they consume a ratio of at least 2:1 EPA to DHA in combination with vitamin D. part 3 Omega 3 benefits in sport • • • • • • • • • • • • • • • • Improved performance Improves recovery from injury Increases fat burning Improves mood Anti-inflammatory Improves focus and concentration Decreases body fat Increases pulmonary function Increases metabolism Prevents breakdown of muscle protein Improves exercise induced asthma Increased blood flow to muscles Increased lean muscle mass Prevents sarcopenia Prevents irregular heartbeat Supports bone health ‘‘ Studies have shown that EPA from omega 3 prevents the breakdown of muscle. EPA works by blocking the enzyme which causes muscle breakdown in the body. p h a r m ac y a s s i s ta n t 15 Essential fats series ‘‘ part 3 Sport is part of every man and woman’s heritage and its absence can never be compensated for. Pierre de Coubertin Essential for life As an island nation our traditional fare used to be fish. Research carried out by the Northern Ireland Centre for food and health (NICHE) has shown that we in Ireland and the UK have very low intakes of total omega 3 in our diet with only 25% of the population consuming fish weekly. The specific health benefits of consuming omega 3 in the diet are convincing, with athletes achieving ’’ greater benefits at higher dosages. Omega 3 is a useful addition to any exercise programme, from elite athletes to the non sporty type to the elderly to improve overall wellbeing. Whether it is weight loss or improving your fitness levels, or general health and wellbeing it is not possible to live a healthy life without regular exercise. If you don’t make time for exercise you may have to make time for illness. Your chance to win €500 holiday voucher Runner up prizes – .250 and .100 holiday vouchers Once you have read the article fill in the answers here. To enter the draw send your answers to the address or fax below. Questions Q1 Name the body’s main source of ‘fuel’? A1 Q2 What percentage of the Irish population consumes fish weekly? A2 Q3 Lack of which vitamin causes stress fractures in muscles? A3 Q4 What is the medical term for muscle wasting in the elderly? A4 The entrants with the most correct answers will enter a draw for a holiday voucher worth €500. Runner up prizes of €250 and €100 holiday vouchers will be awarded to second and third place. Watch out for the next two articles in this series which will explore further how the lack of omega 3 and the excessive amount of omega 6 in our diet is responsible for many of our chronic illnesses. These will appear in the autumn and winter editions. Please tear off and send answers to: The Editor, Pharmacy Assistant, 7 Adelaide Court, Adelaide Road, Dublin 2. Alternatively you can fax your answers to 01 4789449 or email your answers to: [email protected] Name Address Q5 What component of omega 3 is nature’s anti-inflammatory? A5 16 p h a r m ac y a s s i s ta n t Email: LINIcIN Effective Treatment For Head Lice Linicin Shampoo is 100% effective in eliminating head lice Linicin Lotion is new to Ireland… new to head lice! Linicin Prevent makes hair ‘invisible’ to head lice • 10 minute treatment • 15 minute treatment • 100% effective • Non chemical formulation • Active ingredient - Dimeticone • Contains no pesticides • No risk of resistance • Colourless, odourless • Colourless, odourless • No risk of resistance • Easy to use, applied once daily, and does not need to be rinsed out • Non-flammable • Suitable for children over 6 months • No need to wash hair after use • Suitable for pregnant and breast feeding women • Suitable for children over 2 years • Non-flammable • Suitable for use in asthma patients • Suitable for children over 2 years • Pack contains fine toothed stainless steel comb • No risk of resistance Available in Pharmacies NEW TO IRELAND • Colourless with pleasant neutral scent 10 mpiono Sham 15 min Lotion Prevent Spray HOT TOPIC Getting down to the nitty gritty combating headlice It is back to school time, so you can expect anxious parents to come looking for a solution to the inevitable outbreak of headlice any day soon. So how best to tackle this beasties? p h a r m ac y a s s i s ta n t 21 HOT TOPIC H eadlice are wingless insects – they cannot fly, hop, jump, or swim, but they can crawl – and they do – very fast. Lice are grey or brown coloured, have six legs and are tiny – about the size of a sesame seed when fully grown. Female headlice lay eggs that are smaller than a pinhead and these attach themselves to your hair close to the scalp. The eggs hatch about seven to 10 days later. When headlice hatch they leave empty shells called nits which cling to the hair. Nits are white and can be mistaken for dandruff or dry skin, however, unlike dry skin they stick to the hair and don’t respond to normal shampooing. Anyone who comes into close contact with a person who already has headlice is at risk of contagion. This includes the infected person’s clothing and belongings. Children aged between 3 and 12 years of age and their families are infected most often. Girls contract headlice more often than boys and women contract them more often than men. Symptoms The first symptom is obviously an itchy scalp. The location of the itch is usually worse behind the ears or on the back of the neck. The advice is to avoid scratching – easier said than done – as the skin can become broken and infections may develop. Headlice aren’t always to blame for these types of symptoms – the cause might in fact be dandruff or a flare up of eczema. (In fact, eczema may be triggered by repeated treatments with insecticides). Very often the first indication of infection is the presence of nits on the hair. It’s also possible to develop ‘headlice phobia’, where people feel they have an infestation because they know of others who have been affected. For this reason it’s essential to have a confirmed diagnosis before starting treatment. Causes Anyone can get headlice, but they are most common in children. This may be because of their close contact with each other at school. You can only get headlice through head-to-head contact. Headlice can only live for a short time away from the scalp and those found away from the head are usually dying. Headlice can be found in all types and lengths of hair – having headlice is not a sign that your hair is dirty, in fact the cleaner the better as far as lice are concerned. Detection Headlice are hard to spot on the hair but a thorough combining with a fine tooth comb will help to identify their presence. This is called detection combing – the hair is painstakingly combed section by section. It is easier to comb the hair if it is wet, as headlice can move rapidly in dry hair. It’s important to comb the entire length of the hair from root to tip. A few teaspoons of conditioner can be applied to slow up the lice (remember to rinse out afterwards). After each stroke, check the comb for lice. You can also comb hair over a white tissue, piece ‘‘ It is easier to comb the hair if it is wet, as headlice can move rapidly in dry hair. 22 p h a r m ac y a s s i s ta n t HOT TOPIC ‘‘ Generally the treatment needs to be repeated after seven days to kill any new lice that have hatched. of plain paper or a bowl of water. But all of this takes time – to do a proper detection you should set aside about 15 minutes to comb the hair thoroughly. If your customers are in doubt about what they have found, you could suggest that that they tape the suspected louse to a piece of paper and come back and ask the pharmacist for confirmation. You will then be able to advise on suitable treatments. ’’ scalp and hair and left for at least 12 hours before being washed out. Insecticides can cause side effects, particularly scalp irritation. Wet combing There are basically three types of treatment available • non-insecticides • insecticides • wet combing This is a method of removing lice with the regular use of a fine tooth comb, but it is quite time consuming. The hair needs to be combed through the entire head of hair every three days for at least two weeks. It is important that you keep doing this until there have been three consecutive sessions without seeing any lice. Other treatments are available that contain essential oils (e.g. tea tree), herbal extracts or homeopathic tinctures. There is no scientific evidence to show that these work. Non-insecticide products After care There are several non-insecticide products available to treat headlice. These products, which are available as lotions, liquids or shampoos, do not contain the same strong chemicals as insecticides but instead kill the lice by coating their surfaces. Generally the treatment needs to be repeated after seven days to kill any new lice that have hatched. The reason for the second application is to kill any headlice that hatch from the eggs after the first treatment. Whichever treatment is used, a follow-up check using the fine tooth comb should be carried out a few days after the course of treatment. If your client does find any eggs, it doesn’t necessarily mean that the treatment has failed – the lice may have been killed but the empty egg cases (nits) might still be there. Of course your client might be unlucky enough to suffer a re-infestation. Treatment does sometimes fail, often because the product isn’t used properly or because your client has become resistant to that particular product, so it may to time to change products. Treatment Insecticides As with non-insecticides, insecticides should be applied twice, with a seven-day interval between applications. Because these contain chemicals a maximum of three treatments should be used in any one course. These products are either alcohol-based or water-based; both types seem to be equally effective but. alcohol-based insecticides are not suitable for everyone, particularly if your client has eczema or asthma, in which case you should suggest a water-based product. Water based products are recommended for young children. If your client is pregnant or breastfeeding you should advise her to try wet combing instead, or ask for advise from the pharmacist. Neither should children under the age of two be treated with insecticides – use wet combing if possible. Usually the insecticide lotion should be rubbed into the p h a r m ac y a s s i s ta n t 23 First Irish online reference site devoted to promoting self care www.yourmedicines.ie New site lists all leading Irish non-prescription medicines Site also contains information about illnesses and the proper use of OTC medicines available for their treatment. Edited by Dr Martin Henman, the site not only acts as a reference guide for pharmacists and other healthcare professionals, it also aims to encourage the public in the correct approach to self-medication. productnews NEW NORMADERM Anti-Age Around 30 years of age, even if teenage acne is over, imperfections such as blemishes and blackheads can often persist. It is also the time when the first signs of ageing appear. In the case of imperfection prone skin, not only wrinkles, but also dilated pores and uneven complexion become more visible. Imperfection-prone skin ages differently and usual anti-ageing products do not address open pores and irregular complexion. In direct response, Vichy Laboratoires launch NEW Normaderm Anti-Age, the 1st anti-imperfection and anti-wrinkle skincare. Normaderm Anti-Age contains the best active ingredients used in dermatology with clinically proven results against imperfections and anti-ageing Anti-Imperfections: Inspired by professional dermatological peels, the two most effective anti-imperfection acids, LHA and Glycolic Acid, are combined to fight imperfections. Both active ingredients have a global and continuous regeneration effect on the epidermis. They also have anti-bacterial properties. LHA (Lipo-hydroxy acid) acts on the upper layer of the epidermis – it gently exfoliates the epidermis and unclogs pores while helping cell renewal. It stays 2 times longer in the skin. Glycolic Acid acts deeper in the epidermis – due to its small size, it penetrates the epidermis easily, rapidly and more deeply to stimulate skin renewal from inside. Anti-Ageing: Vitamin C is an active ingredient used as a reference in anti-ageing. Vitamin Cg (glucosylated Vitamin C) has an anti-wrinkle effect. It synthesizes collagen in the skin and multiplies fibroblasts, the cells at the origin of new fibres, smoothing the skin. Vitamin Cg also contains anti-pigmenting and depigmenting properties which act at the source of complexion irregularities. Dark spots fade and complexion becomes smoother and soft. Effectiveness has been clinically tested on more than 300 women, in 5 countries and on 2 continents under dermatological control. Normaderm Anti-Age offers a true double efficacy with results visible in just 7 days. 86% of women see an instant smoothing action and 29% see an increase of firmness after just 4hours. Anti-imperfection action: 90% of women feel the skin is visibly purer and 84% report elimination of imperfections. Anti-ageing action: 81% feel wrinkles are smoothed, complexion is more even (91%) and pores are tighter (93%) At 4 weeks, never seen before self-assessment and clinically proved double efficacy results. Anti-imperfection action: 81% experience purified skin and 73% less visible imperfections. Blackheads have been reduced by 22% and pores by 7% (Use test on 53 women with acne prone skin). Anti-ageing action: 100% find their skin smoother, fresher and less tired, 98% feel the skin firmer, more even and younger looking and 95% feel wrinkles are reduced. Crow’s feet wrinkles are reduced by 9% . Annual Pharmacy Prize-giving Awards at UCC On Thursday 16th June, University College Cork held their annual summer graduation conferring ceremony for the Bachelor of Pharmacy degree programme at the School of Pharmacy, UCC. Following the graduation ceremony, the annual pharmacy prize-giving awards took place in the stunning Aula Maxima. The Actavis Prize for Excellence in Pharmaceutics was awarded to top student Maria Donovan. Maria had achieved the highest mark in pharmaceutics and drug delivery over the four year pharmacy degree. Speaking at the event Actavis Ireland, Marketing Director Irene Sheehan said that “Actavis are delighted to be able to sponsor such a prestigious prize and are committed to supporting the work of Irish Healthcare Professionals at all levels. Maria is a worthy winner and has showed great dedication throughout her four years in UCC. On behalf of all at Actavis I would like to extend our congratulations to Maria and all the other graduates and wish them well in their future careers. Actavis Ireland looks forward to working closely with UCC on various projects in the coming months and years ahead.” Speaking at the event Dr Brendan Griffin, Lecturer in Pharmaceutics said “The School of Pharmacy would like to acknowledge Actavis Ireland for their generous sponsorship of this prize, and for their continued interest in supporting UCC programmes. In particular I would like to thank Ms Irene Sheehan, Marketing Director, for taking the time out to present this award.” Dr Brendan Griffin, Lecturer, School of Pharmacy, Irene Sheehan Marketing Director, Actavis Ireland, Maria Donovan and Professor John Higgins, Head of College of Medicine and Health. p h a r m ac y a s s i s ta n t 25 productnews New Purete Thermale Waterproof Eye Make-Up Remover – for Sensitive Eyes Vichy Laboratoires have launched new Purete Thermale Waterproof Eye Make-Up Remover for sensitive eyes, which limits lash loss and protects lashes day after day. new Purete Thermale Waterproof Eye Make-Up Remover is the first eye make-up remover with anti-lash loss effect, giving exceptional cleansing power and an optimal tolerance. It has a dual-phased texture that instantly and gently removes even the most resistant make-up. It is paraben free, hypoallergenic and tested on sensitive skin and eyes under dermatological and ophthalmological control. It is suitable for sensitive eyes and contact lens wearers. With soothing, fortifying and regenerating Vichy Thermal Spa Water. Purete Thermale Waterproof Eye Make-Up Remover uses a groundbreaking combination of two renowned anti-hairloss molecules – Arginine + Taurine in a dual-phased ultra soft texture. Arginine refills the lashes and stimulates microcirculation that brings nutrition to the bulb (the eyelash root). Taurine has a strengthening and protective action on the lash follicle that prevents attacks against its growth Dual-Phased formula: this dual-phased ultra soft texture combines the cleansing efficacy of an oil with the freshness of a water. It contains the perfect balance of two oils for maximum dissolving efficacy without leaving an oily finish. The Oily Phase contains isopropyl palmitate (ultra effective dissolving oil) and isododecane (for a non-greasy finish). The Water Phase is composed of soothing Vichy Thermal Spa Water and Tensio-Actives, which capture the dissolved make-up. Purete Thermale Waterproof Eye Make-Up Remover removes waterproof make-up while limiting eyelash loss by dissolving the most resistant eye make-up, leaving fewer lashes on the cotton pad after cleansing. It protects lashes day after day leaving them smoother and coated after one month of use. Vichy Purete Thermale One-Step Cleanser for Sensitive Skin The best selling cleansing milk, a lotion and an eye make-up remover in one single product. It removes all traces of make-up and tones the skin in one simple step. The original texture is a mix of oils inside an aqueous gel. Oil drops are dispersed on the skin to dissolve and remove makeup more efficiently, leaving skin fresh with a non-greasy finish, just like after using a toner. Also contains 5% of soothing & fortifying Vichy Thermal Spa Water. Apply using a cotton pad. No rinsing required. Vichy Purete Thermale Calming Cleansing Micellar Solution for Sensitive Skin and Eyes Cleanses and removes make-up while soothing and calming irritation. The Micellar technology includes agglomerated tensio-actives, in which the lipophilic side collects the impurities and the hydrophilic side helps to remove them for a higher cleansing efficacy. The non-drying and ultra soothing formula contains Rose Phytophenol, an extract of Rosa Gallica, known for its soothing and inti-inflammatory properties. It is pH neutral, alcohol, soap and colourant free, tested on and suitable for sensitive eyes, skin and contact lens wearers. Actavis launches Rosuvastatin in Ireland Actavis Ireland is delighted to announce the addition of Rosuvastatin Film-coated tablets to the company’s ever-growing product portfolio. Rosuvastatin Actavis is a prescription only product and is indicated for primary hypercholesterolaemia (type IIa) or mixed dyslipidamia (type IIb) as an adjunct to diet when response to diet and other non-pharmacological treatments (e.g. exercise, weight reduction) is inadequate. Rosuvastatin is an important product launch for Actavis. It further demonstrates the group’s commitment to providing long term sustainable value across a broad product portfolio. Actavis continues to develop a competitively priced, broad portfolio of products. Additional launches and line extensions are yet to come this year which will further underline Actavis’s current position as the fastest growing generic company on the Irish market. For further information on the Actavis portfolio please contact us in Cork today on 1890 33 32 31 or email on [email protected] Rosuvastatin from Actavis is available in the following presentations 26 5mg x 28 film coated tablets 10mg x 28 film coated tablets 20mg x 28 film coated tablets 40mg x 28 film coated tablets Trade Price €16.19 €19.91 €32.48 €33.36 GMS Code 62830 62831 62832 62833 p h a r m ac y a s s i s ta n t productnews Sanofi & Eau Thermale Avène ‘Sun Safe at Sea’ Sanofi and leading French dermo-cosmetic brand, Eau Thermale Avène, recently held a series of talks aimed at keeping sailors and water sports enthusiasts in the Dublin bay area ‘sun safe’ while they are on the water. The talks were delivered by Dr Mark Wheeler, of the Edenpark Surgery in Raheny and took place in three clubs in Dun Laoghaire Harbour – the National, Irish and George Yacht Clubs over the summer Dr Wheeler, who has a special interest in skincare, said: “I am very pleased that the sailing clubs and the Bray Sea Scouts have been willing to get involved. These groups subject themselves to a lot of sun exposure on the water, so this is about giving them the facts about sun protection so they can stay ‘Sun Safe’ while enjoying their favourite pastime.” “People often describe a suntan as a ‘healthy glow’, but the appearance of a tan means your skin is reacting to damage done by the sun’s UV rays. As well as that, most people apply their sunscreens at one third of the thickness used for testing, so these talks will help to dispel some of the myths that exist about sun care and sun protection.” The talks were sponsored by leading French dermo-cosmetic brand, Eau Thermale Avène. Distributed in Ireland by sanofi, the brand has gone from strength to strength in the Irish market since its introduction here in November 2010. Ingrid Walsh, Head of Consumer Healthcare at sanofi Ireland, said: “Sailing and watersports are a good fit for our brand, which is photostable for 4 hours and very water resistant. With an innovative, patented formula, the Eau Thermale Avène range of sun care products is suitable for every skin type. The range is paraben and alcohol free and has organic, chemical and mineral sunscreens, so no matter what the sensitivity of your skin, there’s something suitable for you to use.” La Roche-Posay Cicaplast – Epidermal Repair Accelerator Speed up the skin’s repair process with this pro-recovery cream that protects the skin and stimulates the renewal of the damaged cells. A triple action product for optimal healing – it works to protect from irritation, prevent bacterial infections and accelerates the repairing process for skin healing. Use it on scrapes and cuts, bites, minor burns, dry patches, sunburn, cuticles and cracked heels. • A glide-on formula to ensure even spreading • Resists water and rubbing • Moisturizing and non-sticky texture Allows easy make-up application while enhancing recovery process. Result – soothed, protected and stimulated – the skin repairs rapidly with superior results. No 1. OTC Brand in Pharmacy* Launches New Nurofen Express Nurofen, the No 1 selling OTC brand*, has just launched the most anticipated product of the year – Nurofen Express. As with all Nurofen products, new Nurofen Express is a pharmacy only product and targets pain twice as fast **. The new Nurofen Express range will comprise of two unique new products: Nurofen Express 200mg tablets, available in packs of 12 & 24, and Nurofen Express Maximum Strength 400mg tablets – a one tablet dose solution and the only 400mg Ibuprofen tablet available OTC (also available in packs of 12 & 24). The launch will be supported by a €1m marketing investment – making it the biggest OTC launch in pharmacy in recent years. The integrated consumer campaign will feature TV, outdoor, radio, digital advertising and huge consumer promotion – all driving consumers into your pharmacy. The launch will also include first-in-class point-of-sale and training materials which are available to all pharmacies. * Source : IMS OTC value sales MAT 2010 ** compared to standard Ibuprofen Letrozole 2.5mg film-coated Tablets Clonmel Healthcare is delighted to announce the launch of Letrozole 2.5mg film-coated tablets. Letrozole is the most recent addition to our oncology division and is used in the treatment of advanced breast cancer. Full prescribing information for Letrozole is available on request or go to www.clonmel-health.ie. This product is subject to medical prescription. Letrozole is GMS reimbursable from 1st September 2011. Please contact Clonmel Healthcare on 01-6204000 if you require any additional information on Letrozole. p h a r m ac y a s s i s ta n t 27 productnews Azithromycin Clonmel 250mg Tablets Clonmel Healthcare is delighted to announce the launch of Azithromycin Clonmel 250mg tablets. This product will join our other antibiotic medicine product listings within the Ethical Prescription Division of Clonmel Healthcare. Azithromycin Clonmel is an antibiotic belonging to a group called macrolides. It stops the growth of bacteria which cause infections by preventing the manufacture of protein in the bacteria. Full prescribing information for Azithromycin Clonmel is available on request or go to www.clonmel-health.ie . This product is subject to medical prescription. Azithromycin Clonmel is GMS reimbursable from 1st September 2011. Please contact Clonmel Healthcare on 01-6204000 if you require any additional information on Azithromycin Clonmel. New Bois d’Orange Huile Sublime 30ml Dry Body Oil Following the success of Bois D’Orange Huile Sublime 100ml dry body oil last summer, Roger & Gallet have launched a travel friendly 30ml bottle. Perfect when on holiday or away for the weekend, Roger & Gallet’s Huile Sublime Bois d’Orange new 30ml dry oil can be used from head to toe. It moisturises and illuminates the skin and leaves hair with a soft subtle sheen, all in a handy travel size bottle. Extremely versatile, this feather-light dry oil can be used on the face, body and hair. It delicately envelops the skin and hair in its heavenly summery scent of wooded and zesty notes. Using essential oils of Mediterranean citrus fruits – mandarin, orange and bitter orange, combining the fruity sweetness of orange blossom with the delicate notes of jasmine and Atlas cedar, this luxurious dry oil leaves a sun-kissed satin sheen that is both nourishing and protective. Huile Sublime Bois d’Orange is enriched with six precious natural oils selected for their ultra-nourishing, softening and soothing properties. • Argan Oil – deeply hydrates • Almond Oil – softens • Camelia Oil – helps restore suppleness and elasticity, • Macadamia Oil – nourishes the epidermis • Evening primrose Oil – protects the skin • Sesame Oil – a rich emollient The formula is also enriched with Vitamin E, recognised for its anti-oxidant properties and invigorating orange essential oil. Tested under dermatological supervision, silicon-free, noncomedogenic and suitable for dry and sensitive skin. Glossy Hair: Especially beneficial to dry and curly hair. Apply generously before or after washing hair, concentrating on the ends. It is perfect for use on holidays or after exposure to the sun. Dewy Complexion: Apply a few drops of Huile Sublime Bois d’Orange to nourish your skin or to create a beautiful post holiday glow. Avoid the eye contour area A Sublime Body: Use generously after showering, while your skin is still damp for faster absorption. Concentrate on dry areas or bare skin on show: legs, arms, décolleté. 28 p h a r m ac y a s s i s ta n t Own-label vitamins and supplements Premier Health Products has provided own-label ranges for independents and multiples across Europe since 1989, and we can now supply you directly. • Build brand loyalty for your business • Increase customer perception of your pharmacy • Retain your customers “But I only have one or two pharmacies. I’m too small to have my own range” Well, that’s no longer true. The Premier Health Own-label range has been specially developed for businesses such as yours, enabling you to compete against the larger multiples. You can pick and choose from the entire range. “What costs are involved?” Nothing is required from you, apart from your logo (you can choose from one of ours if you don’t have one), we incorporate this into our label template. You sign it off and then we supply your goods. Simple! No set-up fee. No contract. And no financial commitment is required. All of our supplements are very competitively priced, offering your customers huge savings over expensively branded alternatives. At the recommended retail price, your profit on return will be at least 40%. See contact details below if you have any queries whatsoever, if you would like to place an order, or if you would like a representative to visit. Angela Gowing, Director, East Park House, Marina Commercial Park, Cork, Ireland. Email: [email protected] Tel. 021 4318875, Fax 021 4318727 www.premierhealth.ie Gastrolief (Pantoprazole) 20mg Gastro-resistant Tablets Clonmel Healthcare has nnounced the launch of Gastrolief (Pantoprazole) 20mg Gastro-resistant Tablets. This product will join our other non prescription medicine product listings within ClonMedica, the consumer division of Clonmel Healthcare. Gastrolief is used for the short-term treatment of reflux systems (for example heartburn and acid regurgitation) in adults. Gastrolief is available in retail pharmacies. Please contact Clonmel Healthcare on 01-6204000 if you require any additional information on Gastrolief. CROSSWORD No.15 This crossword is sponsored by an educational grant from For further information please contact: Ricesteele Manufacturing Ltd, Unit 21, Cookstown Industrial Estate, Belgard Road, Tallaght, Dublin 24. Tel: 01 4510144 1 2 3 4 5 6 Across 1 Ten years (6) 4As soon as possible, initially! (4) 8Et cetera, in short (3) 9A looser concoction for a spray can (7) 10 Minor argument (4) 11 Tapas confused for spaghetti, for instance (5) 14 Belfast’s main river (5) 16 Singer with you too, we hear (4) 18Aspiring endlessly for a pain killer (7) 20 Hard water? (3) 21 Swine (4) 22Evaluate female donkey? (6) 7 8 9 10 11 12 13 14 15 16 17 18 19 21 Down 20 22 ANSWERS FOR CROSSWORD NO. 14 Across: 1 Rudolf, 4 Enda, 8 Bug, 9 Mourned, 10 Hiss, 11 Oscar, 14 Lager, 16 Oval, 18 America, 20 Eye, 21 Sped, 22 Caesar. Down: 1 Ruby, 2 Digging, 3 Limbs, 5 Nun, 6 Adders, 7 Euro, 12 Craters, 13 Altars, 15 Rain, 16 Osama, 17 Dear, 19 Eve. Congratulations to the winner of the last Pharmacy Assistant Crossword: Laura Flanagan, C/O Duddy’s Pharmacy, Portumna, Co Galway. Send your completed crossword with your name and address by 1st November 2011 to the Editor, Pharmacy Assistant, 7 Adelaide Court, Adelaide Road, Dublin 2 or fax 01 4789449. The first correct entry will win a cheque for e50. 1 8 R 14 18 21 2 D O I B Y 13 U U 9 U G 10 G I A G E A M E R R V A S S N T F I 16 R E D C 22 R R O S O V N D 6 12 N E D C A R E A A 20 A S L T E Y R E A D R M C 5 U S I N E E U 11 S 15 4 7 M O A 19 P L B H L 3 S 17 D E A A R 1 Two musicians like Jedward (4) 2Riding a bike (7) 3 Happy, Bashful, Dopey, Grumpy, Sleepy, Sneezy or Doc (5) 5Little sister, either way (3) 6 Nelson’s went with a bang in O’Connell Street (6) 7Enclose warp warped! (4) 12Ridiculously insures the dawn (7) 13 Whiten with chlorine, perhaps (6) 15 He fiddled while Rome burned (4) 16 Groups like U2 (5) 17 Meg’s assorted jewels (4) 19 Swine (3) Name: Address: Email: p h a r m ac y a s s i s ta n t 29 knows where it hurts Pain... it’s a personal thing! with Supported rtising ve d A er Consum & otional In-store Prom a Materi l ABBREVIATED PRESCRIBING INFORMATION. Please refer to the Summary of Product Characteristics before dispensing: Buplex 200 mg Film-coated Tablets. Indications: Mild to moderate pain, such as headache including migraine headache, dental pain. Primary dysmenorrhoea. Fever. Dosage: Short-term use only, not longer than 7 days. Dose depends on the patient’s age and body weight. Tablet should be swallowed with a glass of water during or after a meal. Mild to moderate pain and fever: Adults and adolescents older than 12 years (≥40 kg): 200-400 mg as a single dose or 3-4 times a day every 4 to 6 hours. In migraine, 400 mg as a single dose, if necessary 400 mg every 4-6 hours. Maximum daily dose: 1200 mg. Children 6-9 years (20-29 kg): 200 mg 1-3 times a day every 4 to 6 hours as required. Maximum daily dose: 600 mg. Children 10-12 years (30-40 kg): 200 mg 1-4 times a day every 4 to 6 hours as required. Maximum daily dose: 800 mg. Primary dysmenorrhoea: Adults and adolescents over 12 years of age: 200-400 mg 1-3 times a day, every 4-6 hours, as required. Maximum daily dose: 1200 mg. Contraindications: Hypersensitivity, Last trimester of pregnancy, History of gastrointestinal bleeding or perforation related to previous NSAID therapy, Active or recurrent peptic ulcer/haemorrhage, Severe hepatic or renal insufficiency, Severe heart failure or coronary heart disease, Significant dehydration, Cerebrovascular or other active bleeding, Dishaematopoiesis of unknown origin, Children younger than 6 years of age. Warnings and Precautions: Use the lowest effective dose for the shortest duration necessary. Symptoms of an infection may be masked. Avoid concomitant use with other NSAIDs, including COX-2 inhibitors. GI bleeding, ulceration and perforation may occur with or without warning symptoms or previous history of GI events. Consider combination therapy with protective agents (e.g. misoprostol or proton pump inhibitors) for at risk patients. NSAIDS should be used with caution in patients with a history of peptic ulcer, GI bleeding, intestinal inflammation, hepatic, renal or cardiac insufficiency, hypertension, congestive heart failure, disturbed haematopoiesis, blood coagulation defects, respiratory disorders and immediately after surgical intervention. All patients, particularly the elderly and patients with impaired hepatic and renal function, on long term NSAID treatment should be kept under regular surveillance with monitoring of renal, cardiac and hepatic function and of haematological parameters. High dose and long term use may be associated with a small increased risk of arterial thrombotic events. Careful consideration before long term use in patients with cardiovascular disease or risk factors. Discontinue at first sign of skin rash, mucosal lesion or other sign of hypersensitivity. May impair female fertility. Strict consideration should be given to the benefit-risk ratio in the following conditions: SLE or other autoimmune diseases, Congenital disturbance of porphyrin metabolism, First and second trimesters of pregnancy and Lactation. Interactions: Other NSAIDs; Anticoagulants; Ticlopidine; Methotrexate; Moclobemide; Phenytoin; Lithium; Cardiac glycosides; Diuretics and antihypertensives; Captopril; Aminoglycosides; SSRIs; Ciclosporin; Cholestyramine; Tacrolimus; Zidovudine; Ritonavir; Mifepristone; Probenecid; Sulfinpyrazone; Quinolone antibiotics; Sulphonylureas; Corticosteroids; Anti-platelet aggregation agents; Alcohol; Bisphosphonates; Oxpentifylline; Baclofen. Pregnancy and Lactation: Pregnancy - During the first and second trimester of pregnancy Buplex should not be given unless clearly necessary. Buplex is contraindicated during the third trimester of pregnancy. Lactation - With therapeutic doses during short term treatment the risk for infant seems unlikely. If longer treatment is prescribed, early weaning should be considered. Side Effects: Headache, somnolence, vertigo, fatigue, agitation, dizziness, insomnia, irritability, heartburn, nausea, vomiting, diarrhoea, flatulence, constipation, dyspepsia, abdominal pain, gastrointestinal ulcers, sometimes with bleeding and perforation, occult blood loss which may lead to anaemia, melaena, heamatemesis, ulcerative stomatitis, colitis, exacerbation of inflammatory bowel disease and Crohn’s disease, complications of colonic diverticula. Shelf Life: 2 years. Pack Sizes: Blister: 12, 24 & 50 film-coated tablets. Marketing Authorisation Holder: Actavis Group PTC ehf, Reykjavikurvegi 76-78, 220 Hafnarfjordur, Iceland. Marketing Authorisation Number: PA 1380/87/1. Legal Category: Product not subject to medical prescription. Retail sale through pharmacies only. Further information including the SPC is available on request from Actavis Ireland Limited, Euro House, Little Island, Co. Cork or email: [email protected]. Information about adverse event reporting can be found on the IMB website (www.imb.ie) or by contacting Actavis Ireland Limited. Date of Generation of API: November 2010. Date of Preparation: February 2011. FADHCP-002-02.