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CHEMKr& DRUGGIST The newsweekly for pharmacy December 2 1/28, 1991 Pharmacy FARLEYS RUSKS LUNCH TIMERS • FARLEY SJUNIORMILK • COMPLAN • TEATIMERS • SWEETEX • With a £29 million spend on mental care advertising, our prodp<5ts will be more initiatives I noticeable Birmingham man struck off for raffle theft PSNC Glaxo back on discounts Upjohn appeal on Halcion ban Pharmacy in a nutshell: a view from outside make Minilabs mark their Jan Leschly: from Wimbledon SB to the top at It's the sort of support that makes a brand not just well known to your customers, but famous. Research digest: So before you can say"Crookes are the number one supplier to the pharmacy trade,"you've sold it. stop NSAIDs DEQUACAINE DEQUADIN NYLAX MYCIL SEA-LEGS EYE DEW ACRIFLEX ANETHAINE before surgery • • • • • • . TV CAMPAIGN MASSIVE FOR FAST SLIM- Five major new Slim-Fast TV commercials willbreak on BoxingDay and run through to the end of New January in a £lmillion Year campaign. The Slim-Fast TV barrage will attract your customers New as they start their Year weight loss resolutions. Demand for Slim-Fast consistently outstrips trade stocks. Don't miss out -be prepared! Place treble your normal order to meet the demand. Slim-Fast Sun Nutritional Inc. c id! 1 week CHEMIST& This DRUGGIST INCORPORATING RETAILCHEMIST &PHARMACYUPDATE Editor:JohnSkelton.MRPharmS VOLUME 236NO 5810 132nd YEAROFPUBLICATION ISSN0009-3033 DeputyEditor:PatrickGrice,MRPharmS ContributingEditor:AdriennedeMont. MRPharmS BusinessEditor:ZacharyGoldring,MSc TechnicalEditor:CharlotteCoker, Mr»-armS Liverpoolpharmacistsofferedchanceofexpandingservicestothe mentally ill 998 NBee.auty-;E-diiittoro:rJ:aSnaeraFehelPuyr,cPelhlD,,BMARPharmS Departmentfundingprojectthroughfamilyhealthservicesprogramme Reporter:JacquiBrommell,MRPharmS ArtEditor:TonyLamb Birminghampharmaciststruckofffortheftfromemployers 999 PriceListController:ColinSimpson Mortgagedebtsledto"substantialtheft"ofalmost£10,000 AdvertisementManager: FrancesShortland AssistantAdvertisementManager: UpjohntoappealagainstCSM revocationofHalcionlicence 1000 DougMytton EuropeanCPMPsupportslimitationofHalciontoshorttermuse AdvertisementExecutives: JuliandeBruxelles PaulineBorda FromWimbledontothetopatSmithklineBeecham 1008 REGULARS PPurboldiuschteiro:n:RoShniarlldeySWaillmsoonn,FRPharmS C&DprofilesSBPharmaceuticalschairmanJan Leschly PSNICouncil 1000 Director:FelimO'Brien PublishedSaturdaysbyBenn ShouldNSAIDsbestoppedbeforesurgery? 1012 Topicalreflections 1001 NPeubwlsipcaapteirosnsGrLotudp,)(Smoevmebreeri,gnUnWiatye,d AdigestofthelatestresearchfromSteveChaplin Prescriptionspecialities 1002 Tonbridge,KentTN91RW Telephone:0732364422 Pharmacy inanutshell 1i)i4 Counterpoints 1003 Telex:95132BentonG Viewsontheprofessionattheendofits 150thyear PointsofLaw 1006 Facsimile:0732361534 RMeagnicohneaslteArdv(eMritdilsaenmde&ntNOofrftihc)e:s: DoHtotakeapragmaticapproachtoPPRSreview 1016 QuestionsandAnswers 1018 AreaManager:BrianCarter ConcernoverECbureaucracyairedatIntermed Letters 1019 (061-8810112) Businessnews 1020 SEiurbesc£r1i2p5tipoenrsa:nHnoummein£c9l0udpienrgapnonstuamg.e.O£v1er.s8e5apse&r Minilabsmaketheirmark... 1017 Comingevents 1021 copy(postageextra). ... butdoesthefutureliewithfullscaleD&Plaboratories? Classifiedadvertisements 1022 iMxPjniVr- Il MBuermebaeurooffCtihrecuAluadtiitons Glaxosupport PSNCviewonwholesalediscounts 1020 Aboutpeople 1024 AUnitedNewspaperspublication Wholesalerspushedforlowerpharmacydiscountthresholds BusinessLink 1025 Comment There was, inevitably, a rash of unflattering newspaper seetheothersideofthecoin(C<£Dlastweek).Theeventgave comment, particularlyinlocalpapers, followingthereleaseof a clear indication ofwhat one FHSA is expecting from its the latest Consumers' Association survey into the quality of contractorpharmacists. Butthosepharmacistswereatleast pharmacists'advice(C&DDecember7). Butareviewofthose providedwiththetoolstodothejobintermsofaneducational papers which chose to follow the matter up beyond just package to equip them more fully for a role in preventative printingthe official Pressrelease leavesastronginpression care. If there is one point that both the FHSA and the that the Consumers' Association by no means had the last Consumers' Association have served to highlight it is that, word. This could be put down to good defensive PR by the comprehensivethough thepharmacydegreecourse maybe, Royal Pharmaceutical S—ociety and the National itrequiressupplementation. BarnetFHSAidentifiedareasof Pharmaceutical Association afteralltheyhadoveraweek weaknessanddevisedtheirowneducationprogrammetofill topreparetheirresponsesincetheresultsofthesurveywere thegaps. ItistobehopedotherFHSAswillwanttoemulate availabletothembeforebeingmadepublic. Itmightalso be Barnet'sinitiative,althoughitisbecomingapparentthatthose duetothefactthatpeoplefeel theydogetagenuinelygood areaswithactive,pushyLPCsarelikelytogetmorefromtheir dealfromtheirpharmacist(ascontrastedtoconsistentlygood FHSA. With the new Postgraduate Education Centre in — advice theConsumers' Association showedthere isroom Manchesterdue to startfunctioning in April, and variety of for improvement on this score). One independent courses available from the NPA and elsewhere, it is up to commentator in The Times (December 12) went as far as practisingpharmaciststo makethe mostofwhatison offer. describingpharmacistsas"theforgotten footsoldiersofthe AnypharmacistlookingforaNew Yearresolution coulddo NHS". The interestoftheDepartmentofHealth infostering worse than promise themselves some further education in a wider role forpharmacists in preventative healthcare was 1992! Everyonebenefits. alsonoted in anumberofpapers. Onthatnoteitremainsonlyforthe Editorandallthestaff ItisashamethePresswerenotpresentingreaternumbers at C&DtowishalloursubscribersaveryhappyChristmasand atBarnetFHSA'slaunchofitsHighStreetHealthScheme,to bestwishesfor, hopefully, aprosperous 1992. Chemist& Druggist2 128 DECEMBER 1991 997 Mental health role offered Liverpool in Community pharmacists in could advise on such topics as through the family health services other patients and encouraging Liverpoolarebeinginvited totake benzodiazepinewithdrawal. programme, with money being them to comply with their (part in a psychiatric pharmacy Finally,pharmacistscouldoffer provided for independentaudit as medicationcouldkeepthemoutof course in January and February, a confidential advisory service to well as service development. As hospital and free valuable with a view to expanding the patients and those who care for pharmacieswill eventuallybe paid resources.Hisphilosphyisthat"we services they offer to mentally ill them at home. When psychiatric fortheirextendedservicesitisonly havetohelppeoplemakegooduse patients. patienLs were asked whether they rightthattheyshouldbeadequately of their medication and become The course will comprise six receivedenough informationabout trained first, says Mr Donoghue. more responsible for their own sessions — two lull days, the—rest the medicines they were taking, who hopes that up to 15 health, rather than being passive eveningsanddistancelearning at mostofthemsaidno,MrDonoghue pharmacists from Liverpool's 126 recipientsoftreatments." LiverpoolSchoolofPharmacyand explains. Computer software for community pharmacies will Pharmacists interested in the will cover the- drugs used plus producing patient information complete the whole course at the training course can contact Mr communicationskills. It isthefirst leafletshasbeencommissionedand pharmacyschoolandthat40-50will Donoghueon051-2364747. step in a programme being co- hehasofferedthelocal Alzheimers attendsomeof thesessions. Pharmacist Christine Butler is |ordinated by John Donoghue, a Association a monthly pharmacist He believes the project will investigating how community proprietor pharmacist and advicesurgery. prove cost effective. pharmacyservicescanbedeveloped Liverpool Family Health Services The projects are being funded Schizophrenics, for example, forthe mentally ill in Nottingham. Authority's pharmacist facilitator by the Department of Health occupymorehospitalbedsthanany Local authorities and health formental health services. authorities are being asked to hid For the past three or four fora share of£31.4 million being months he has been researching Tough decade ahead made available next year to help ways in which more use can be people who are mentally ill. The madeofcommunitypharmacistsin predicted for OTC products money is a specific grant from caringforthementallyill.Thereare central Government to develop several proposals. The first would Over the counter healthcare- certaintypesofhealthcaresuchas socialcareservices. dbeispteonsionffgersemrovriecesspescuicahliseads pwirtohduicntvsesatrmeefnatciunnlgiaketloyutgohgdiveecaadney skinAcakreey.featureoftheindustryhas Alternatives in NHS monitoringprescribingandissuing shorttermrewards,accordingtoa been the marriage of traditional GPs may give alternative complianceaids. report by market analysts pharmaceutical companies with therapiesthemselvesortheycan There is also a role tor Euromonitor. consumer goods industries. employ complementary community pharmacists in TheworldOTCmarket,valued Euromonitor predicts that the therapists to offer NHS oymroonurienstgiodsrecinhtniigzaolmpehhdroeimnceiacstsia.onn"dMihanin>nysuteorlfssitf<nhiegr afbtoyre$1c54as5tp,e7tro35gcreonmtwilstlloioown1l9y9mi5nrae1an9l9d(t1eb.rymisas aGmruarlmitvbiallneatowifiollnmasolqrsueeelczioeknepsruoPfmrietorcmtagerrogoidn&ss tcSSroetecnearpftehimtereanmnretydDso.wrirfetolhrliO,nntePHhaeeraillritpoahrfma,ectnitchtaeahrssey, staffin these placesare untrained further 15percenttotheyear200(1. in thefuture. fundamental principles of the and we need to know whetherthe Greatest growth is expected in NHS, he said, was that patients patients are using their medicines Canada, FranceandJapan. should bethe responsibilityofa correctly and if adverse drug Factors working against OTC BPC: call for registered medical practitioner reactions are being reported growth include the ageing and professionals offering adequately," MrDonoghuesays. populationwhomoreoftenreceive papers alternative care should be liais"eWwiethalCsPoswtaondtevpehlaorpmapcriosttocsoltso pcrosetscarnipdttioinmedrscuaglse,ftohreipnrtorhoidbuictiinvge The 129th British Pharmaceutical carle"ignriiescftaeelrrlreyadlp"arcsaccytosiuttneitomnaewbrhl.eeIrtewtbaoysotnnhoeet torprescriptionreview,whichwould new producLs. and the industry Conference will take place in registered practitioner refers a includeprotectingthepatientfrom infrastructure which is largely Birmingham from September 7 to patientfortreatmentbyanother, unnecessarymedicationandtrying chemical-based in a society which 10. 1992.Contributionsareinvited buta "delegation"systemwhere to prevent iatrogenic illness," he increasingly looks for "natural" forthePharmacyPracticeResearch theGPasksanotherprofessional adds. Pharmacists could also remedies. session, which will be held on to provide care for which he become part ofthe practice team lowever, Euromonitorbelieves Monday, September 7 (poster remainsclinicallyaccountable. where CPs had heavy psychiatric goveIrnmentdelistingofdrugsfrom session)andTuesday.September8 Cuttingprescribing case loads; in this context thev prescription to OTC status will be (oralandpostersessions). Longerconsultationtimescancut beneficial. Brandswithadispensing The session will give the GPs' prescribing, according to heritage have, says Euromonitor, opportunitytoconveytheresultsof Edinburgh University'sprofessor Restrictions been themostsuccessful launches originalworkrelatingtoanyaspect ofgeneralpractice,John Howie. inrecentyears. Increasedcorporate (ifpharmacypractice.Theresearch In a survey of Lothian GPs he on growth andmarketingactivity,ariseinthe should have a practical relevance foundthatdoctorsseeingfewer popularity of preventative andapplicationtosocial,economic, than eight patients an hour hormone test medicines, and the above average public health orclinical aspects of cpornessuclrtiabteidondsruwghserine4a2sptehrosceenwthoof The chief medical officer Dr pmeerdifcoartmeadncsekinocfarneutwriilltiaolnsaolshelapn.d pharTmhaecyC.hemist£Druggistaward spraewscrmiobreedinth5a8npeericgehnttaofncahsoeusr. Kenneth Caiman has written to Ashifttopreventivemedicine is (asilvermedaland£200)ismadeto No-smokingcourse health authorities and key to market development as it the presenter of the oral paediatricians warning of the presentsopportunitiestomarketto communicationjudgedtobeofthe Pharmacists interested in duasnegderstoofdaenteinrsmuilninetohleorwancmeutcesht jtuhsetwthoosleelecptoipvuelasutfifoenrerrsa,thsearysthtahne bbeessttmqaunalnietry.aTnhdepJraenssesnetnedawianrdth(ea waNtoattreiknosdnhiaonlpgs somrogPkahinanirgsmeadcceesbusytaitcitaohlne growth hormone a child is report. Asthistrendevolves.OTC £100 hook token) will be made to Association and Lundbeck {C&D producing. drugswillincreasinglyformaminor the best first-time presenter of a last week p992) should contact The warning comes after the sectorofawhole newapproach to communication. A .£100 award Antonia Bettson071-602 7131. deathsoffivechildren and reports healthcare embracing natural givenbyRvharLtdwillbemadeto Right ingredients or(Ife>pse<ooremtmebneeiranr1-f7)aT.thalereaIcntdioenpse,nsdaeysnta tahlrotemeartenmaethnietvasel,tmhecdhaieracelitnheasp.palnidancefistnaesnsd, cthoentIpanrctetesnednHitnaegrzeoclfontthMreaixbbuetstetodr.psosstRheooryu.alld Lhliaassettmeodrrwhteoheiedks's(ipn9g8r3ae)rdtiiineccnloetrsrectoolnfy theIntehsitslsehttoeurl,dI)roCnlayimbaensuasyesdthaitn neeTdhedetayrpeeloifkehleyalttohccahraengpreo,duwcitths PHhiagrhmacSterueteitc.'alLSoocnideotyn. 1SLEi1mbe7tJhN PPrreeppaarraattiioonnHHcoanntdaiNnuspsehracrakinlaivle.r exceptional circumstances and more medicines required for (telephone: 071-735 9141. oil and yeast cells, while under strict supervision of problemslikearthritis,chronichut extension275or276).Theclosing Nupercainalcontainscinchocaine experiencedconsultants. stableconditionslikediabetes,and dateforsubmissionsisApril 24. hydrochloride. 998 Chemist & Druggist 21/28 DECEMBER 199 i PPA gives itself a pat on the back "Outstandingly successful" is the way the Prescription Pricing Authority's chief executive Mr A. HiltondescribestheyeartoMarch 1991, in the PPA'sannual report. Development work for the Indicative Prescribing Scheme, implemented in April 1991, wasa dominantfeaturerequiringaradical alteration to established working practices. Equallyaschallengingwasthe effortneededtoclearprescriptions in 14workingdaysorless,saidMr Hilton.Thiswasachievedlargelyas aresultofanewincentivesscheme. A target performance of 2,800 prescriptions per peak period operatordayhadbeenachieved. Theoccasionalneedtooperate Struck off for raffle theft the 100percentadvancepayment system, a source ofannoyance to pbeheanrmraecmyovceodn,trMarctHoirlst,onharseploarrtgeedl.y AstolBeitrhmeinpgrhocaemedpshaofrmaaccihsitldrwenh'os C7olmasmtiytetaerehweaasdmtoiltdt.e(d>ntwDoeccheamrbgeers aFpapkriorxsimaCtheelmyis£t4,,69J5obceelloynnginHgiltl,o At the start ofthe financial yeara hospital Christmas raffle has been oftheftandoneoffalseaccounting solicitor for the Society told the number of 100 per cent advances removedfrom the Pharmaceutical for which he received six months CommitteeinSeptemberwhenthe werenecessarybutthebacklogwas Register. imprisonment, suspended for 12 hearing was adjourned until eliminatedbySeptember 1990. David Wilson of 19 Sandmere monthsconcurrentoneach. December 17. "While it would be foolish to Grove, Yardley Wood, Between July 1986 and Mr Wilson said he started claim that the use of100percent Birmingham, whoseeightyearold September 1987 Mr Wilson stole working for Mr Wilkes in the advances has been eliminated for sonhasaholeinhisheart,stolethe approximately£5,050ofmoneyand Summer of 1986. He was paying ever, the introduction of revised £175 raffle money which should stock from J.H. Wilkes Chemist rent on a Hat and a 100 per cent working methods should ensure have gone to the heart unit ofthe Ltd.ThenbetweenAugust1, 1989 mortgage on a house. "Finances that they will not occur again for children's hospital, the Statutory and May 1, 1990 he stole werestretched.Themortgagerate operational reasonssolongasthe hadgoneupanawfullot.Itookout rsteaqtueimreenmtesnttwoitrheidnucethperesccurrirbeinntg Overwork leads Bolton adetsoirpa-bulpelmooannefyrolmenodneersofatthaehliegshs smaoind.thly timetable continues," he pharmacist to drug abuse linetaerrneesdt,o"fthheethesfatisda.ndMrrattiWeriltkheasn IntheyeartotheendofMarch sacking him reduced his salary to 1991, 363 million items were A 50 year old Bolton pharmacist twosimilarchargeswhich resulted pay for the stealing. He was given dispensed by pharmacists and who turned to amphetamines to fromhisconvictioninApril 1988for another chance, but then started appliance contractors in England relieve business pressures, is no possession of dexedrine stealingagain. (upfrom356millionin1989-90),27 longer fit to practice, the Royal amphetamine. At the hearing, he He went to work at Fakirs million by dispensing doctors (up PharmaceuticalSociety'sStatutory hadassuredtheCommitteethathis ChemistinOctober, 1987leavingin from26million)and7.5millionby Committeehasdecided. consumption had stopped and no May1988afteradisagreementbut doctorsforpersonaladministratein. Colin Porter of Somerdale furtheractionwastaken. returningasa managerin August, The total cost for the three Avenue, Heaton, Bolton admitted GivingevidenceonTuesday,Mr 1989. "I was still in financial categorieswere£2.4billion,£197m thatbetween March 10, 1988 and Portersaidpressuresbegantobuild difficulties,therewasanotherloan and£34m respectively. May 23, 1991, he possessed up when he acquired a second wewerestrugglingtopayoff.Again Analysis of prescriptions amphetamines and failed to pharmacy in Rupert Street and Istartedtomakeupmyincomeby dispensedshowedtheaveragecost maintainaproperControlledDrug begansupplyingBoumontHospital taking money from the till." tobe£6.74forpharmacists,£7.30 Register, when he appeared at with drugs. "An ever increasing Although he has not repaid Mi- fordispensingdocti>rsand£4.(54for BoltonMagistratesCourtonJuly2 workloadrequiringmetobeoncall Fakir, he hasrepaid the money to items personally administered by thisyear.Hewasfined£750onboth 24hoursaday.Iresortedtotaking thechildren'shospital. prescribing doctors. The same charges and ordered to pay £25 dexedrinetoreleasethepressure.I Committee Chairman Gary figures for the previous yearwere costs. This was his second stoppedtakingthedrugswhenthe FlatherQCtoldhim: "Westrongly £6.33, £6.81 and £4.47 conviction, leading to his second Home Office were making suspect a lot of your difficulties respectively. appearance before the Statutory inquiries." arosefromaninadequateattitudein Whentheaveragetotalcostper Committee. He then offloaded some ofhis respectofyourdebts.Someonewho prescription was compared for JocelynHill,fortheSociety,said worktorelievesomepressure,but isearningagoodwageextractsno family health services authorities the offencesactuallytookplace in then began to supply nearby sympathy for stealing, from this within regional boundaries, the the beginning of 1990, not 1989. nursing homes and he lost a Committee. highest cost was found to be in "Theoffencesrelatedtodexedrine pharmacist. "I felt unable to cope "We have here a case of Oxford (£7.41) and South West tablets taken from his two and I found myself resorting to substantial theft, almost£10,000, Thames (£7.34) while the lowest pharmacies." dexedrine." He is now in the whilstactingasamanager. Itisthe cameinNorthWestern(£6.34)and Twodrugsquad officerscalled processofsellinghisbusinessand worst category of breach of trust Merseyregions(£6.44). atoneofhispharmaciesinMaythis hopestoretirefromtheprofession that one can have. When having The PPA annual report also year at the Great Lever Health but said he wanted to retain a been forgivenonce hethanksthat shows that in the year to March Centre in Rupert Street, Bolton. semblanceofdignity. generosity by stealing again. We 1991 therewasafallinthenumber Inspection of the CD register ChairmanGaryFlatherQC,told view such acts with utter of hospital FPIO(HP) forms showedashortfallof612dexedrine him: "This Committee must at all repugnance.Thereisnoalternative dispensed from 16,287,795 in tablets. Mr Porter also admitted timestakeadispassionateview.We than to order that Mr Wilson's 1989-90 to 15,930,155. This was taking tablets from his other havetotakeintoaccountthepublic name be removed from the thefirsttimeintenyearsthatthere pharmacyatRishtonLane, Bolton. interestandthepublic'sc<>nfidence. register." wasafall inthenumberofhospital MrPorterappearedbeforethe It is hurt when pharmacists lapse MrWilsonhasthreemonthsto formsissuedfordispensing. Committee in December 1988 on intoself-abuse." appeal. Chemist & Druggist21/28 DECEMBER 1991 999 Upjohn to appeal against FHSAgets Glaxo grant Halcion withdrawal A £2.000 grant from Glaxo Pharmaceuticals is enabling Hillingdon FamilyHealthServices lIpjohnCoaretoappealagainstthe immediatelyinform memberstates encourageaco-ordinatedapproach Authority toorganisean on-going CommitteeonSafetyofMedicines' which are required to decide on a bymemberstatestoregulation. campaign to dispose ofunwanted lpartoedstuctrecliocmemnecendaftorionHaltchiaotn thhee- cWohuirlsee CofPMacPtioonpiwniitohinns 6a0redanyos.t deciTdheed toCoemxtmeintdteites rehvaiesw farlosmo mediAcdimniensisrtertautrinoendmtaonpahgaremracCiaerso.l revoked. binding on national regulatory Halcion to all short-acting Edwardstold I'd'/)thatthemoney Upjohn can request an appeal authorities, they are intended to hypnotics. will he used to pay a company to hearing before the Medicines collect and dispose of unwanted CpMerodomicmceiidnusersseisoAnecstt.abhl"yisWheedmeiuanntndesenrdthoteof Peak flow meter prescribing dyseurapurpgllsyyobacnsoianst.saiIxitnmweoornustlhfdolrayltsohorebpreoesutssiuebrdlnyetdao pursue this appeal process hy levels disappointing medicinesand posters toalert the exercising all our rights and publictothescheme. options," says Keith Krzywicki, The useol homepeak(lowmeters l)tthe44Lji sitsted. 'ink three Ms Edwards is hopingthat the mIaKnasguibsnigdidairrye.ctUorpjoofhtnheLctodm.pany's htahseyrisebneocnlaymethreeavpaeirlacebnltesinocne apcatsisveadtiona oftestthe tionhaclherecwkasthcaot- rmuonnneiyngwiclolsLcsovaenrdtthheatfGirlstaxyoeawri'lls TheMedicinesCommissionwill prescription, according to ordinated with inspiration; continue theirsupport ifit proves be asked to undertake acomplete unpublishedresearchpresentedat inspiratoryflowratedidnotexceed successful.Theschememaystartas reviewofHalcionsafetydataandto the British Thoracic Society's 70litres/min;breathwasheldfor 10 early as February next year. makerecommendationstotheUK recentWintermeeting. seconds;andthatatleast500mlwas Althoughlocalcontractorshavenot licensing authority. Since the UK Thestudyfoundthat14percent inspired. yet been sent details, the FHSA's suspensiononOctober2.boththe ofpatientsreferredtoarespiratory In aquestionnaire.95percent Pharmacy Communication EuropeanCommunity'sCommittee outpatient clinic in the 1 1 months ofthedoctorssaidtheyprescribed Committeesupportsthescheme. forProprietaryMedicinal Products after the meters were allowed on inhalers frequently and two thirds Next"ii (tie FUSA'sagendafor and the US Food and Drug FPld.hadpeakflowmeters(Pulse believed their patients could use community pharmacy are- Administration have undertaken December 14). themadequately. discussions on a scheme to use reviTehwesCofPHMalPcidoenc.idedlastweekto theAsnamaeddmietieotnianlgsftouduyndprtehsaetnotneldya7t asthImmaprhoavsebdeeCnPidmenatniafigeedmaesnatkeoyf spehnatrtmoacCyPsr.eferral cardswhich are- support thelabellingandpackaging per cent of CPs can use a factorinthefallindeathsintheUK Ms Edwardsalsoreported that changes it recommended in pressurised metered dose inhaler (PulseDecember7). Hillingdon's recently launched (IctoherwhichwouldlimitIlalcion properly and many do not give A 6.5 per cent fall in asthma- prescriptionpre-paymentcertificate tloegsihsolratt-itoenr,musteh.eAcCcoPrMdiPngtmouEsCt apadteiqeuntast.e instructions to their dreolwantewdadredatthrsenidns1i9n9ce0c1o9n88t.inuesa sprcohgermeess(iCncgSwDelAlu.gust17p269)was PSNICOUNCIL More high PR committee proposed for Northern Ireland R&D risk TheCeneral PurposesCommittee Pharmacy. Queen's University of enclose a leaflet about their of the Pharmaceutical Society of Belfast,shouldhe nominatedtoact organisationwith the nextcircular The proportion ol international Northern Ireland feels "very on the Committee on Safety of to members. Council agreed that pharmaceutical companies' strongly" that a Public Relations Medicines. The PSNI will makeits thisshouldbedone. researchanddevelopmentactivities Committee should he formed, the five-yearly visit to the School on An application by Park related to high risk projects has PSNI Council meeting heard on February20-21 next year. PharmacyLtd.'MKillyleagyStreet. increased over the last decade, November21. The Women in Pharmacy Crossgar was granted for pre accordingtotheDecemberissueof Council agreed that the CrouphadapproachedthePSNIto registration training. Centre tor Medicines Research Pharmaceutical Contractors News. Committee, Ulster Chemists ULSTER CHEMISTS' ASSOCIATK )\ Although virtually all those AHsosspoictiaaltioPnharamnadcistthse shGouuilldd boef PAST PRESIDEN1 S cinovmepsatnigiaetsing quecsatridoinoveadsculaarre atswkoedreifptrheesyenwtoautlidvelsiketotoancotmionnatea MAAirK-inmt/rklitrtriftnjr*rrr \\&a>a l'/l...AUiitTilucMtlthKrM fAiCt.T' gJ/!'JJ/Ul'r»*'tS.slSsutnuiitnHter dprruogdsu/cdtisurwehtiicchs acatndondtehveecleonptirnalg steering committee under the rErjtrrMfslmfiTitthle J- nervoussystem,manyidentifytheir cprheasiidremnatn.ship of the PSNI t$Kh/£S.tuUt/l/Olf,„Hlk,W.um't, m"»V Cjc-R£.tA.eeG..iiMeiQbctnm»ihHLiU-iHmn,iiv,~~ kbreeyaktshtrraotuegghys inasnewlotohkeirnagpeutfiocr Council noted that the Royal I.M/rn: 2 K/i.vrx.di areas,saysthereport. JLCCkk BLGmke.-Ruii, Pharmaceutical Society of Great ./ttttniu t/.G.etimptr/t Attritionratesvan.1considerably Britain was not yet inaposition to III Mum. KMJinft between companies with the permittheNorthernIrelandSociety Japanese appearing to bring a to "buy in" to its assessment higher proportion of sy—nthesised examinationhuttheRPSGBwould products to the market one in notify the Society as soon as 2.200ascompared to the UK and something definite could he put L'Smeanofone in5.000. forward. Therearealsoclearpreferences Following a confidential vote. for the US. UK and Japan, in that Mrs Dorothy Graham, a general order,whencompanieswereasked practicepharmacistworkinginthe tostatetheirchoiceoflocationfor Ballyclare district, has been co- R&D facilities. opted toCouncil. The total expenditure on The president reported that pharmaceutical Reel) in the 11 Council had received a "most major pharmaceutical-producing generous" donation of tL'OO from nationsincreasedalmostthreefold theUlsterChemistsAssociationfor from$5.4billionin 1981 to$15bm otUfhCetAhCBeoeuPnbrnaeeclvsiloiolldteaehngnettrl'edFseuddEnutvdrhe.iantnTighnPigrtso.hfeweaassnsnopuraarLlti SoCIH'feholneaBsteetrrelldrafaalCagshnhSted,emHrriiivselsiglcctiauessnrs'troeAeAfrgnseRtesdlaonycnciindycaa.ht1la9iMs7oirt1nr5so.m.waHMnSinrhlhsloeaafsHnhtiabhlwsleeaaeasPnln.hsiaoinarnssgstmetararalaclvldeleeuueddadtatoiasencsaUoptlfChreQeACsuoNipemodremreenitns'tthisetdoereIfnne'ttnhHiobelveyeatrlohstueihtt-y 6TWinh0erset1ep9Ge8cre8ot.runmtatcrnheieynest—r—eopaUfocSrctAot.uontcJtaoalnfptoairnnRoua&evnseDd.r Wan Po, directoroftheSchool of goingpresidentV'erusReaney expenditurewith theUKsixth. 1000 Chemist & Druggist 21/28 DECEMBER 1991 No help on The Which? shop security report and Christmas While a number of family health the benefit cheer servicesauthoritiesareofferingCPs help to avoid violent attacks and of hindsight Christmasisalmostoveranda thefts, similar schemes are not newyearabouttobegin.AsusualI beingextendedtopharmacies. Withheavyeditorialsinthe wasnotinvitedtotheBenn Nottinghamshire FHSA is pharmaceuticalPresslastweek BrothersChristmasbashbut offeringdiscountstoCPson safes thereseemedlittleIcouldaddto insteadhavetostayintheshop and security devices fortheircars theuniversalcryofindignation enjoyingthechallengesofthis,the afteraspateofvandalismandthefts. thatprecededthereportingon busiesttimeoftheyear! However, the Authority's radio,televisionandinthePress Icannotsaythepastyearhas Bernadette Maughan confirmed ofthelatestConsumers' beeneasywithrecessionareality thatatpresenttherewerenoplans Associationsurveyintoadvice whichhasaffectedthecounter forsimilarhelpforpharmacists. givenbycommunitypharmacists. turnoverbutwithouta The existence of —a ThatremainedsountilIwasable compensatoryfallinexpenses reimbursementschemeforCPs— tolookbackonthewholesorry which havecontinuedtheir theImprovementGrantScheme episodewiththebenefitof inexorablerise.Thenumberof enablestheFHSAtoofferthistype hindsight. localretailers,however,whohave of assistance, she said. However, Iwalkedintothepharmacythe shutpreventsmefrom because there is no comparable morningthenewsbroke complainingtoomuchbecause schemeforcommunitypharmacists expectingtheworstwithworried prescriptionshavenotfallenand thereisnomonevavailable. patientsdesertingindrovestothe withtheresultantNHSincomeas In Kirklees, the FHSA is safetyofthelocalsurgeryand thebackboneofmybusinessIam offering CPs, and their practice garageforecourt,butwhat sureIwillsurvivewhentheless staff, training on how to handle actuallyhappenedwas...nothing! fortunatehavealreadyceased difficultpatients.Thecourse,which Itwasasifthereporthadnever trading. startsinJanuary,willrununtilApril occurredandindealingwithas Fortheseandthe onanumberofhalfdays. manyconsultationsthatdayasI unemployed,timesareindeed Steve Ainsworth, director of haveeverdoneIdetectedneither hardandweshouldallsparesome service development at Kirlees condemnationnorsympathy.Asa momentsofthoughtforthoseless FHSA, told C&Dthatthe scheme professionweareverysensitiveto welloffthanourselves.Ialways had been prompted by a specific criticism,reactingdefensivelylike giveaspecialChristmaspresent attack on a doctor. The FHSA awoundedstagatbay,butwe everyyeartothesamecharity considereditwaspotentiallyalarge forgetthatpatientshavealready knowingthatmysmall problemforthemedicalprofession. confoundedthelieofthereport contributionwillmakesomeone's The Authority plans to review becausetheyknowtheyalways The public's problemsalittleeasiertobear.I thecourseandconsiderwhetherto receivereliableadvicefrom their doitbecauseIwanttoandexpect offerittootherprofessions. pharmacist.Afterall,theyhave perceptions nothanks,butwithoutsimilar On a more positive note, almostbeenbroughtupinthe giftsIknowthisseasonofgood Hillingdon FHSA has recently shopandtheirpharmacistmay of necessity cheerwouldbeapoorertimefor implemented a voluntary visiting stilltalkfondlyoftheirAuntieFlo many.Imakenoapologyfor scheme tocommunity pharmacies andGrannyEve,havingknown Itseemsthatthepublic's attackingyourconsciences looking at a number of aspects thewholefamilyforyears. perceptionof"necessity"is because,despiteourproblems,we including access for the disabled Ihavecriticisednimbyismin stronglydictatedbywhetherthey arestillbetteroffthanmost.No andhealthandsafetyatwork.This thepastbutthistimeitisprobably liveinaruralornon-ruralarea.In onewilleverknowbutIwouldlike followssimilarschemesfordoctors oursaviour.Yes,this Which? Wolverhamptonasustained tothinkthatmynaggingwill anddentists inwhich HSEleaflets reportisdamagingandwewill publiccampaignfortheopening encourage 10,000other weredistributed. havetotryharder.Yes,Istill ofapharmacyatTettenhallWood pharmacistssimilarlytohelp resentthemethodofresearch hasresultedinanappealdecision thoselessfortunatethan whichisasquestionableforwhatit infavouroftheopening(C&Dlast ourselves. Breast sensor doesn'tsayasforwhatitdoes,but weekp968)yetintheLincolnshire MeanwhileIthankallthose whenyoumultiplyallthose villageofWeltonanestimated contributorswhoallowmeto 'encouraging' patientswhowillinglyreturnto populationof4,000apparently makebattleontheirbehalfand theirlocalcommunitypharmacy, havenodesiretoavailthemselves thosewhoseblowsinreturnareas AclinicalevaluationoftheSensor havingalreadyrejectedthereport ofthatservice(G£Dp967).That goodasmyown.Itrynottotake Pad,asiliconedeviceforbreastself- asirrelevanttothembythe particularapplicationhasyettogo theprivilegeofanonymitylightly examination, isshowingpromising numberofcommunity toappealbutbeforemakingtheir butenjoytheadvantageofalarge results in a UK trial in spite of pharmacies,youhavea decisionsFHSAsshouldbe woodenspoon.Icannotseemuch criticismthatitcouldcauseanxiety maintenanceofthestatusquoand seriouslyaskingwhythereissuch economiclightattheendofthe inyoungerwomen. areportwhichprobablydoes alargeapparentdiscrepancyin 1992tunnelandexpectnextyear The device is claimed to moredamagetoouregosthanour publicopinion.Itissaidthatthe tobeashardasthisbutdespiteall enhance the sense of touch and individualreputations. healthservicemustadaptto theproblemsIenjoywhatIdo.In makelumpsfeelmorepronounced. providetheservicedesiredbythe lookingforwardtoanexciting But last week's CPquotes breast public. Iquestionwhetherthe NewYearmayIwishyouallavery expertsassayingthatyoungwomen publicreallyunderstandwhatthat happyChristmasanda using the device for the first time serviceistheretoprovide. prosperousNewYearand,as amidbealarmedbythenumbersof DaveAllensays: "MayyourGod lumpsrevealed, manyofthem too gowithyou". small to be picked up by normal fingerexamination.Oneexpertsaid Tooical this did not necessarily matter if both breasts were examined and differencesnoted. Mike Lowe, director of UK distributorsValeTrading,toldC&D thatclinicalstudiesintheUSAhad REFLECTIONS all been favourable. He was "encouraged" by the way a study was progressing at University Hospital ofSouth Manchesterand theresultswouldsoonhepublished. Chemist& Druggist 21/28 DECEMBER 1991 1001 2 , Scriptspecials new Timecef: a cephalosporin Roussel Laboratories have Heatedandcomplicatedupperand dosagesee DataSheet transaminases. As with all introducedTimecef(cefodizime),a lower urinary tract infections Contra-indications, warnings etc. cephalosporins, pseudo- broad-spectrum bactericidal including acute and chronic Knownsensitivitytocephalosporin membranous colitis may occur cephalosporin with high beta- pyelonephritis,cystitis antibiotics or lignocaine rarely lactamase activity, formulated for Dosage and administration Timecef (intramuscular injection is Pharmaceutical precautions See Data parenteral use. maybeadministered intravenously constituted with lignocaine only). Sheet for instructions for Manufacturer Roussel Laboratories or intramuscularly. Individual Discontinuetreatmentifanyallergic- reconstitution. Store the dry Ltd, Broadwater Park, North intramuscular doses should not reactionoccurs.Notadvisedduring powder vialsat room temperature Orbital Road, Denham, Uxbridge, exceed lg. Adultsandtheelderly: pregnancy and breastfeeding. below25C. Protectfromlight. Middlesex UB95III' Lowerrespiratorytract infections, Cautioninpatientsreceivingpotent SupplyrestrictionsP(IM Presentation Vials containing lg lgshouldbeadministeredevery 12 diureticsorpotentiallynephrotoxic Pack Carton of ten vials each cefodizime disodium as while to hours; urinary tract infections, 2g antibiotics containing lg cefodizime sodium yellowish-whitepowder dailyasasingled<>seor1gevery 1 Side-effects. Allergic reactions (skin (each£11.32 trade) Uses Lower respiratory tract hours.Timecefshouldnotbeused eruptions, urticaria and fever); Licencenumber PL0109 infections such as pneumonia, in children. Lower doses are nausea, vomiting and diarrhoea; IssuedDecember 1991 bronchopneumonia. Uncomp- required in renal impairment: for eosinophilia;transientelevationof Medical Matters BiCNUback in stock Sugars linked Cyclosporin metabolism pBrriosbtlolemMsyewirtshSBqiuCiNbLb'shaayvethnatowsubpepelny resolved, and the product isavailable to arthritis again through the usual distribution Researchinthisweek'sLancethas breakdown. channels. Bristol-Mvers Squibb Research carried out at Oxford indicated that the poor oral Researchers investigated PharmaceuticalsLtd. Tel: 081-572 Universitywhichstudiedthesugars biovailabilityanddruginteractions whether first pass metabolism of 7422. coating living cells in relation to ofcyclosporinmaybepartlydueto cyclosporin in thegutcould partly Epogamdistribution orpfhreouIgnmCrahatRamoAnim,ndeeac(lretDrhetraci4tie'inmssbwoeafr"sEtt1hq5he)eu.isbunobdojyex'c"st dtinhrtoueuTgsgthihentamleostfmmaaealbtslaoablnoiilnstiimems,spmto.irnbteuantits striahtreeesloeyf sacpicryncotcodoueucnchtertfshooermeitstphprPeoi4onc5ri0otpIrhaaIrllIeAaeveainl(azmwbyiahlmjiietocy,hr, wCEEifplDlao.mngaoasSwmte,baferrlmoEeampro&kSegcotaCtemoidaaLPnpthaddae.drdiimsTaatetcrlrei:iubcut0tie4cdaa9nlb4dvs antibodies are triggered to attack observationsmightalsoberelevant cyclosporin metabolites) is also 521124. o"ftohreerigann"t.ibBoydifeosc,ussinegeionngtthehesmugaars otothtehre spuobosrtroartaelsbioofavaciyltaboiclhirtyomoef founCdycilnosepntoerrioncywtaess.instilled into Migralift 1 2s go ratherthantheproteincomponent P450IIIA. includingerythromycin, the small bowel of two patients Migralift12sarenolongeravailable:the wsomfuiagsstashriernsecgevheafaairnlntoe.imdbToeh—daiicsehasc,ohgfaaatnnlhgaeaecbt,mnooorslereesmcuasullultigeita'nyrsg blmieegltnaiAobelcovtalehiidonseuegadhtnodcyioncelhsoettsrhpoeogreeixnlncsilv.ieusrs,wiivdetelhleyy edcbxyultcrorliooandshgpeopwlraeiitvrnieecrmetmmtreaeaabntsosauplbrlioeatlndeit.ssatmiiSnotnrwpiohkriaitcnanhdlg appP1surh2kroasicdrwnuhmgicaattcsfhoeeiriusMmtMbimiieggecirradanalilglsiaeftrtveesespaehlyf1aof2cuestelchtddiaantbbsnyetdceaMuaCdisdhvgtiar—osraemwJdeeetrlvhtlseeo in what is termed the "Gal Zero" researchshowedthesmallintestine most likely occured in the small formulations are identical. Charwell antibody, issufficient to make the to be a major site of cyclosporin intestine,wasfound. Pharmaceuticals.Tel:042084801. bodythinktheantibodyisforeign. The identification ofGal Zero Bronchodilators on demand means that, for the first time, scientists have a biochemical markerforRAandalthoughitcould Results from the first long-term fourdrypowderinhalatiiins(each<if treatmentinchronicbronchitis,but be years before they learn how to study comparing continuous and 400 meg salbutamol or 40mcg exacerbations, symptoms, and "mend" the molecules, the "on demand" bronchodilator ipatropiumbromide);ordrypowder qualityoflifewereunchanged. discoveryhasimportantshortterm therapy has concluded that inhalations of salbutamol or The authors caution that implications, saidthereport. bronchodilatorsshouldnotheused ipatropium bromide during patients maybeeven more misled Anantibodyassaykit hasbeen continuously. A combination of exacerbations or periods of bytheapparentwellbeingproduced developed allowing doctors to bronchodilators and inhaled dyspnoeaonly. by the newer longer-acting beta detect Gal Zero with over 90 per corticosteroidsisadvisedwhenthe Continiulusly-treated patients adrenergics, as they are more cent certainty. Using this, need forbronchodilators nn ivascs showedanannualdeclineinFLY effective in suppressingsymptoms researchers have shown that Thetwo-yearstudy, conducted thatwasthreetofourtimeshigher such as morning dyspnoea. patientswhogoon todevelop RA by researchers in the Netherlands thaninpatientstreated<>ndemand. Treatment with these should have levels of Gal Zero in their (BMJ, Dec 7), issaid tobethefirst This might be explained by therefore not be a substitute for bloodbeforesymphmisdeveli>pand study lasting long enough to bronchodilatorsfailingtoinfluence treatment with inhaled thelevelspresentareanindication establishaneffecton thedeclinein the inflammatory processes corticosteroids. offutureseverity. ventilatory function (measured as underlying the disease, leading to The study also found that Levels ot raised Gal Zero were declineinforcedexpiratoryvolume. adverseeffects. salbutamol and ipratropium alsofoundinpatientssufferingfrom FLY,).generallybelievedtobethe However this decline was not bromidehadcomparableeffectson tuberculosis and leprosy, both of most important measure of accompanied by a significant decline in ventilatory function, which arecausedby Mycobacteria progression ofasthma or chronic increaseinsymptomsoraperceived changeinbronchialresponsiveness, infections. By culturing fluid from bronchitis. poorerqualityoflife.Socontinuous respiratory symptoms, number of the kneesofRA patients,scientists Atotalof223patientsagedover bronchodilatortherapyalone may exacerbationsandqualityoflife. have detected Mycobacteria. By 30 with moderate airway mask the decline in ventilatory Yetpatientstreatedondemand using a harmless species of this obstruction due to asthma or functionandsupressthesubjective preferredsalbutamol. probablydue bacteria, avaccine against RA has chronic bronchitis were randomly need tor additional anti- to its more rapid bronchodilating been developed and although it is assigned to one of two treatment inflammatorytreatment. effectwhich isapparentwithinfive stillearlydays,oneortwopatients groups. They received either Bronchial responsiveness minutes compared with 15-30 haverespondedpositively. continuous daily treatment with increased slightly with continuous minutesforipratropium bromide. 1002 Chemist & Druggist 21/28 DECEMBER 1991 Counterpoints UK gets Peaudouce Babycall reassurance Adam Leisurehaveadded Both receiverand Step By Step theBabycallbabymonitorto transmitteraremobile. theirSafe&Soundrange. Babycallcanbemainsor Themonitorworksover batterypowered. Adams arangeof250ftandclaims LeisureGrouppic.Tel: Peaudoucearelaunching togiveclearreception(£40). 0423501151. theirStepbySteprangeof disposablenappiestoUK Unichem Cow & retailersinthesecondweek ofJanuary,followinga New Year Gate successful Frenchlaunch earlSiterepinBMyaSyt.ep—cater—ing offers babymilk forbabiesfrom8-551bs incorporatesnewanti-leak Unichemhavethreenew Cow&Gatearerationalising legcuffswhichdirectleaks promotionsfortheNew thesizesoftheirPremium totheheartofthenappy, Year. andPlusbabymilkranges. whilewaistshieldguards Inconjunctionwith Inresponsetoincreased protectagainstleaksaround SmithklineBeecham, salesofthe200mlsize,the thebaby'stummy, Anewfit pharmacistswillbeawarded 100mlsizewillbephased guideallowsforcorrect pointswhichqualifyforfree out,although itwillstillbe positioningofthenappy. giftswitheverypurchase availableinhospitals. Therangeisdesignedto fromtheBeechamcough Seniorproductmanager meettheneedsofthe andcoldtreatmentsrange. atCow&GateNickWhite growingbabyateverystage, Onordersofsixpacks saysthe200mlsizeaccounts sayPeaudouce. fromSterling'sPanadol for80percentofsalesof Therearefourvariants rangepharmacistswill theproduct.Cow&Gate —Newborn,aunisexdesign qualifyforaEuropean Ltd.Tel:0225768381. withapulpcorecutawayto competition.Tencorrect protectthenavelarea; Baby babies;andJuniorwhich heavierbutlessfrequent entrieswill receiveSealink whichcomesintwosizes; alsocomesintwosizesand wettings. Pricesareyettobe voucherseachworth More Action,designedforolder isdesignedtocopewith confirmed. £150,redeemableagainst Thenewrangewillbe traveltoover40 Unichem supportedbya£5million destinations.Twenty Roc add Christmas promotionalprogramme, runnersupwillreceive includingtelevisionand SterlingHealthtracksuits. ibuprofen treatment closures Pressadvertising, Unichemhaveteamedup sponsorshipandsampling withGilletteinapromotion Unichemareextendingtheir mascara activitydesignedtoreach62 tocoincidewiththelaunch ibuprofenrangetoinclude Thefollowingcompanies percentofnewmothers. ofnewGilletteshavefoams. packsof48and96. Rochaveaddedacream wCihlrlibsetmcalsoshionlgidfaoryst:he Aacntiavtiitoynawlilltricaolmcmaempnaciegnwiitnh OGirldleetrtseogfelsioxrdtohzeennepwacfkosamof oPuhtaerrmsacoifs4t8sscfaonr£p1u1rc.h5a2se trraenagItenmtoeefnntsceomsCamoseltcoiacursra.mtoastchaeirra ODpeaclemPbreordu2c4tsun:tiflrJoamnuary t0Phe9ea5wu2odm6oeu8nc0'e0s4UP4rK.esLst.d.Tel: w2Ui3nll2i3cre.hceemiv.eTaeflr:ee08po1l-o3s9h1irt. £(Te£2l13:..720598e1(a£-c33h.)9501a)n.2dU39n26i3sc.hfoerm. issaidtothickenand 2. lengthenlashes,aswellas APS/Berk:from 12noon protectingthemwith onDecember24until Imperial hydrolysedproteinsand January2. pantothenol. Alsoincluded Parke-DavisandWarner- Leather arecarnaubawaxanda LambertHealthcare:from cellulosederivativetoensure noonDecember24until gets longlastingcolour. January2.Theorder andTshueitambalsecfaorrasiesnsfiitbirve-efree dbeeptawretemne8natmwilalnbde1mpamnnoned sporting eyesandcontactlens December23.27and30 wearers.—Itcomesinthree (0495762468andfor addition colours brown,blackand emergenciesatothertimes). navy(£7.25). Pointofsale GlaxoPharmaceuticals: Cussonsaremovingintothe material,includingcounter fromnoonDecember24 sportstoiletriessectorwith aavnadiRlwaobiclneda.roewaclasrodsr,eliasunching e0un8mt1eil-r9gJ9ea0nncu9ya0r0iy0nq.2u.iFrioerstel; tLheeatDlheaesuringcSnhpeoodrftfIosmrpheuorswieearlafgteelr. theirJour+ activeday sport,theshowergelcomes cream,withanew JohnRichardson intwovariants. Cooling formulationtoimproveits Computers:Closed ActionSportcontains texture.Cetylphosphateis December25,26and mentholtocooltheskin, saidtogivetheproducta January 1. whileDeodorisingSport moreunctuousconsistency. TheProprietaryArticles containsIrgasan. Therelaunchedproduct TradeAssociationwillbe Theproductwillretailat (30ml£7.95)willbe closedonDecember25-27. £1.59(225ml)andCussons promotedatpointofsale Atelephoneanswering arerunningalaunchofferof togetherwiththerinse-off service(0923211647)will, 50poffnextpurchaseonall facialcleanser. however, beinoperation packsuntilJanuary. LaboratoiresRocLtd.Tel: andcallswillbemonitored CussonsLtd.Tel:061-792 0273517704. daily. 6111. Chemist* Druggist21/28 DECEMBER 1991 7 New new look, products for Pharmaton FromJanuary 1 Pharmaton willbedistributedbyWindsor Louis Marcel Healthcareratherthan L'nichem Windsor Healthcare. Tel:0344 484448. The LouisMarceldepilatory S V05onTV rangehasbeenrepacked, 5* gliovoki,ngaintdatmwooreneuwp-ptroo-ddautcets tAhlebierrtVo0C5ulhvaeirrcaarreeardavnegretiosning havebeenadded. televisionwitha£2.5million Thenewdesign,saysthe campaignthatrunsuntilthe middleofJanuarv.Alberto company, maintainsthe Culver.Tel:025657222. sptarceknaggtihnsgoafntdhetohledLouis Fishpromotion Marcel logo,withtheaimof Lanesaresupportingtheir appealingtoboth newand Lanepafishoilsupplement existingcustomers.Thenew withaPresscampaignin packsnowfeaturefull women'smagazinessuchas ingredient labellinganda PracticalHealthand Womens "Nottestedonanimals" Journal.Thecompanyhasjust statement. completedtheirfirstmailout Thetwonewproducts toover10,000pharmacists. arehairremovercream Thebrochuretakesa (100ml£2.95, 50ml£1.85), humourousapproach,looking containingcalendulaand atthebenefitsoffishoil supplements.(Distributors) vitamin E, andfacial hair ErnestJackson.Tel:0363 removercream(,£2.45),a 772251. twosteptreatment comprisingperfume-free removerandaftercare cream. SaraLee Colgate increase ad Fittydent gives staying Household& Personal Care.Tel:0753523971. spend by 42 per cent power to dentures Marigold Colgate-Palmoliveare advertisingspend indicates GeneralMedical Equipment productwillnotwashout planningtoinvest£1 ourdeterminationtodrive CohavebeenappointedUK andtherearenochemicals millioninaseriesofmajor marketgrowthandfurther suppliersofnewFittydent thatwillirritatethestomach, gloves UKadvertisingcampaigns strengthenmarket dentureadhesive. saysthecompany,andithas toughen ontheir—oralcareproducts leadershipineach Fittydentissaidto notaste. in 1992 anincreaseover segment,"saysColgate's provideasecurebond Fittydentwillbe thisyear'sspendof42per marketingmanagerfororal betweentissueanddenture, supportedbyregionaland up cent. careproducts,Andy preventingdenturedropand nationalPressadvertising. Theadvertising Weston-Webb. Colgate- sidewaysmovement. Italso General.Medical LRC Productshave programmewill includeon- PalmoliveLtd.Tel:0483 allowscleaningofdentures EquipmentCoLtd.Tel: relaunchedtheirMarigold goingsupportforColgate 302222. withoutremovingthem.The 0380870774. ExtraLifeandLightTouch toothpastes,toothbrushes, housegloves. Actibrushandtherecently Both brandshavebeen acquired Plax.Sales Insignia repackedgivingthema promotionsandpublic On TV NextWeek brighterimage.Thegloves relationswillsupportthe support arenowlongerlasting advertisingactivities. thankstoanimproved "Theoralcaresectorisa Procter&Gambleare syntheticrubbercoatingand significantgrowthareafor supportingtheirInsignia iremspirsotavnecde.puTnhcetyuraelsohave usandourextensive GBTBVorGdrearmpian CU4UlCshtaenrnel4 TTeVl-evaimsioBnreakfast Crharnigestdmuarsinpegrtihoed,pre- longercuffsforextra Mousse BSBBritishSky GGranada STY'Scotland(central! continuinguntilSpring. 0prPrer8omo1tade-iuc5ntc2ituo7snn.c2Lht3Pad7rn.i7gcT.eeesdl,:wisllavLRC shampoo CCLBrVTCoVVeaTndtCcLrhaaosalntndinnoeglnIWseleankdesndTATTSAVnWgTlSihoaaumthesWeTesltevisionTYTHTVTYSVoTrySkWnosaeuhltieThrseee&sWest dwpieatochdkTsoh2re5oarmfneltthweeiaxlntlardnbat.ebi-oAepdxeystrrassapmpiprvrlaaaiyln,nutge. for babies Actifed: AllareasexceptU campaignforInsignia Olympiawilloffer600.00(1 Andrex and kids AlkaSeltzer: HTV.CTV,TSW.LWT,TTV.TT.C4&Sky peoplea2mlaftershaveand promote to JolindaInternationalare AndrewsAntacid: Allareasexcept U.CTV.LWT GBiaamcbtolle.saTmepll:e.07Pr8o4cter& marketingababyshampoo AskitPowders: STV 434422. chemist madebyRevlon USA.Called Benylin: TV-am sector CfoarrmeulFaotrioKnidwsh,iicthistahemousse Colgate,Actibrush: Allareas Friendly companysayswillnotdrip Colgate,GreatRegularFlavour: Allareas support Andrexarepromotingtheir orspill intoababy'seyes. — toilettissuetothe Therearetwovariants CoughCaps: Allareas independent,allowing oneforbabiesandonefor Dimension: Allareas LotthouseofFleetwoodare retailerstoclaimbetween£5 children(£2.95each).The spending£500.000onanew and£20bycollectingproofs topofbothpackshasa HallsMentholyptus: Allareas campaignforFisherman's opfacpkusr.chasefromtworoll safeTtyhelotckr.adepriceforan OralBPlaqueRemover: Allareas tFhreieNnedwloYzeeanrg.es,startingin Forconsumerstherewill outeris£21.12withthe Pure&Simple: TV-am Advertisementswill boeno1f,f0e0r0inAnadcroemxpettoiytipounp.pies firneteropdruoctdourcyt'poeffredroozfeonne SevenSeasPureCodLiverOil: Allareas baapspeedaroinntthheetnhaetimoena"lNePrveesrs, Claimsforthecashbonus ordered. SlimFast: Allareas underestimatethepowerof c31anabnedmtahedecounntsiulmJearnuary adveCratrieseFdoirnKtihdespwairlelnbtael Solpadeine: C.A.TVS.TTV acaFmipsahiegrnmawni'llsrFurnieunntdil".The competitionclosesMarch Pressfrom February. SureforWomen: AllareasexceptCTV.STV,TVS.TY-am February 14. Lofthouseof 3312.7S1c9o1t.tLtd.Tel:0342 J0o9l2i3nd8a2I8n7t6er2n.ational.Tel: Wrigley'sExtra&Orbit: G.A.HTV.TSW.TVS&LWT 8Fl7e2e4t3w5o.od. Tel:0253 1004 Chemist & Druggist 21/28 DECEMBER 1991

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CHEMKr& DRUGGIST The newsweekly for pharmacy December 2 1/28, 1991 Pharmacy FARLEYS RUSKS LUNCH TIMERS • FARLEY SJUNIORMILK • COMPLAN • TEATIMERS • SWEETEX • With a £29 million spend on mental care advertising, our prodp<5ts will be more initiatives I noticeable Birmingham man struck off for raffle theft PSNC Glaxo back on discounts Upjohn appeal on Halcion ban Pharmacy in a nutshell: a view from outside make Minilabs mark their Jan Leschly: from Wimbledon SB to the top at It's the sort of support that makes a brand not just well known to your customers, but famous. Research digest: So before you can say"Crookes are the number one supplier to the pharmacy trade,"you've sold it. stop NSAIDs DEQUACAINE DEQUADIN NYLAX MYCIL SEA-LEGS EYE DEW ACRIFLEX ANETHAINE before surgery • • • • • • . TV CAMPAIGN MASSIVE FOR FAST SLIM- Five major new Slim-Fast TV commercials willbreak on BoxingDay and run through to the end of New January in a £lmillion Year campaign. The Slim-Fast TV barrage will attract your customers New as they start their Year weight loss resolutions. Demand for Slim-Fast consistently outstrips trade stocks. Don't miss out -be prepared! Place treble your normal order to meet the demand. Slim-Fast Sun Nutritional Inc. c id! 1 week CHEMIST& This DRUGGIST INCORPORATING RETAILCHEMIST &PHARMACYUPDATE Editor:JohnSkelton.MRPharmS VOLUME 236NO 5810 132nd YEAROFPUBLICATION ISSN0009-3033 DeputyEditor:PatrickGrice,MRPharmS ContributingEditor:AdriennedeMont. MRPharmS BusinessEditor:ZacharyGoldring,MSc TechnicalEditor:CharlotteCoker, Mr»-armS Liverpoolpharmacistsofferedchanceofexpandingservicestothe mentally ill 998 NBee.auty-;E-diiittoro:rJ:aSnaeraFehelPuyr,cPelhlD,,BMARPharmS Departmentfundingprojectthroughfamilyhealthservicesprogramme Reporter:JacquiBrommell,MRPharmS ArtEditor:TonyLamb Birminghampharmaciststruckofffortheftfromemployers 999 PriceListController:ColinSimpson Mortgagedebtsledto"substantialtheft"ofalmost£10,000 AdvertisementManager: FrancesShortland AssistantAdvertisementManager: UpjohntoappealagainstCSM revocationofHalcionlicence 1000 DougMytton EuropeanCPMPsupportslimitationofHalciontoshorttermuse AdvertisementExecutives: JuliandeBruxelles PaulineBorda FromWimbledontothetopatSmithklineBeecham 1008 REGULARS PPurboldiuschteiro:n:RoShniarlldeySWaillmsoonn,FRPharmS C&DprofilesSBPharmaceuticalschairmanJan Leschly PSNICouncil 1000 Director:FelimO'Brien PublishedSaturdaysbyBenn ShouldNSAIDsbestoppedbeforesurgery? 1012 Topicalreflections 1001 NPeubwlsipcaapteirosnsGrLotudp,)(Smoevmebreeri,gnUnWiatye,d AdigestofthelatestresearchfromSteveChaplin Prescriptionspecialities 1002 Tonbridge,KentTN91RW Telephone:0732364422 Pharmacy inanutshell 1i)i4 Counterpoints 1003 Telex:95132BentonG Viewsontheprofessionattheendofits 150thyear PointsofLaw 1006 Facsimile:0732361534 RMeagnicohneaslteArdv(eMritdilsaenmde&ntNOofrftihc)e:s: DoHtotakeapragmaticapproachtoPPRSreview 1016 QuestionsandAnswers 1018 AreaManager:BrianCarter ConcernoverECbureaucracyairedatIntermed Letters 1019 (061-8810112) Businessnews 1020 SEiurbesc£r1i2p5tipoenrsa:nHnoummein£c9l0udpienrgapnonstuamg.e.O£v1er.s8e5apse&r Minilabsmaketheirmark... 1017 Comingevents 1021 copy(postageextra). ... butdoesthefutureliewithfullscaleD&Plaboratories? Classifiedadvertisements 1022 iMxPjniVr- Il MBuermebaeurooffCtihrecuAluadtiitons Glaxosupport PSNCviewonwholesalediscounts 1020 Aboutpeople 1024 AUnitedNewspaperspublication Wholesalerspushedforlowerpharmacydiscountthresholds BusinessLink 1025 Comment There was, inevitably, a rash of unflattering newspaper seetheothersideofthecoin(C<£Dlastweek).Theeventgave comment, particularlyinlocalpapers, followingthereleaseof a clear indication ofwhat one FHSA is expecting from its the latest Consumers' Association survey into the quality of contractorpharmacists. Butthosepharmacistswereatleast pharmacists'advice(C&DDecember7). Butareviewofthose providedwiththetoolstodothejobintermsofaneducational papers which chose to follow the matter up beyond just package to equip them more fully for a role in preventative printingthe official Pressrelease leavesastronginpression care. If there is one point that both the FHSA and the that the Consumers' Association by no means had the last Consumers' Association have served to highlight it is that, word. This could be put down to good defensive PR by the comprehensivethough thepharmacydegreecourse maybe, Royal Pharmaceutical S—ociety and the National itrequiressupplementation. BarnetFHSAidentifiedareasof Pharmaceutical Association afteralltheyhadoveraweek weaknessanddevisedtheirowneducationprogrammetofill topreparetheirresponsesincetheresultsofthesurveywere thegaps. ItistobehopedotherFHSAswillwanttoemulate availabletothembeforebeingmadepublic. Itmightalso be Barnet'sinitiative,althoughitisbecomingapparentthatthose duetothefactthatpeoplefeel theydogetagenuinelygood areaswithactive,pushyLPCsarelikelytogetmorefromtheir dealfromtheirpharmacist(ascontrastedtoconsistentlygood FHSA. With the new Postgraduate Education Centre in — advice theConsumers' Association showedthere isroom Manchesterdue to startfunctioning in April, and variety of for improvement on this score). One independent courses available from the NPA and elsewhere, it is up to commentator in The Times (December 12) went as far as practisingpharmaciststo makethe mostofwhatison offer. describingpharmacistsas"theforgotten footsoldiersofthe AnypharmacistlookingforaNew Yearresolution coulddo NHS". The interestoftheDepartmentofHealth infostering worse than promise themselves some further education in a wider role forpharmacists in preventative healthcare was 1992! Everyonebenefits. alsonoted in anumberofpapers. Onthatnoteitremainsonlyforthe Editorandallthestaff ItisashamethePresswerenotpresentingreaternumbers at C&DtowishalloursubscribersaveryhappyChristmasand atBarnetFHSA'slaunchofitsHighStreetHealthScheme,to bestwishesfor, hopefully, aprosperous 1992. Chemist& Druggist2 128 DECEMBER 1991 997 Mental health role offered Liverpool in Community pharmacists in could advise on such topics as through the family health services other patients and encouraging Liverpoolarebeinginvited totake benzodiazepinewithdrawal. programme, with money being them to comply with their (part in a psychiatric pharmacy Finally,pharmacistscouldoffer provided for independentaudit as medicationcouldkeepthemoutof course in January and February, a confidential advisory service to well as service development. As hospital and free valuable with a view to expanding the patients and those who care for pharmacieswill eventuallybe paid resources.Hisphilosphyisthat"we services they offer to mentally ill them at home. When psychiatric fortheirextendedservicesitisonly havetohelppeoplemakegooduse patients. patienLs were asked whether they rightthattheyshouldbeadequately of their medication and become The course will comprise six receivedenough informationabout trained first, says Mr Donoghue. more responsible for their own sessions — two lull days, the—rest the medicines they were taking, who hopes that up to 15 health, rather than being passive eveningsanddistancelearning at mostofthemsaidno,MrDonoghue pharmacists from Liverpool's 126 recipientsoftreatments." LiverpoolSchoolofPharmacyand explains. Computer software for community pharmacies will Pharmacists interested in the will cover the- drugs used plus producing patient information complete the whole course at the training course can contact Mr communicationskills. It isthefirst leafletshasbeencommissionedand pharmacyschoolandthat40-50will Donoghueon051-2364747. step in a programme being co- hehasofferedthelocal Alzheimers attendsomeof thesessions. Pharmacist Christine Butler is |ordinated by John Donoghue, a Association a monthly pharmacist He believes the project will investigating how community proprietor pharmacist and advicesurgery. prove cost effective. pharmacyservicescanbedeveloped Liverpool Family Health Services The projects are being funded Schizophrenics, for example, forthe mentally ill in Nottingham. Authority's pharmacist facilitator by the Department of Health occupymorehospitalbedsthanany Local authorities and health formental health services. authorities are being asked to hid For the past three or four fora share of£31.4 million being months he has been researching Tough decade ahead made available next year to help ways in which more use can be people who are mentally ill. The madeofcommunitypharmacistsin predicted for OTC products money is a specific grant from caringforthementallyill.Thereare central Government to develop several proposals. The first would Over the counter healthcare- certaintypesofhealthcaresuchas socialcareservices. dbeispteonsionffgersemrovriecesspescuicahliseads pwirtohduicntvsesatrmeefnatciunnlgiaketloyutgohgdiveecaadney skinAcakreey.featureoftheindustryhas Alternatives in NHS monitoringprescribingandissuing shorttermrewards,accordingtoa been the marriage of traditional GPs may give alternative complianceaids. report by market analysts pharmaceutical companies with therapiesthemselvesortheycan There is also a role tor Euromonitor. consumer goods industries. employ complementary community pharmacists in TheworldOTCmarket,valued Euromonitor predicts that the therapists to offer NHS oymroonurienstgiodsrecinhtniigzaolmpehhdroeimnceiacstsia.onn"dMihanin>nysuteorlfssitf<nhiegr afbtoyre$1c54as5tp,e7tro35gcreonmtwilstlloioown1l9y9mi5nrae1an9l9d(t1eb.rymisas aGmruarlmitvbiallneatowifiollnmasolqrsueeelczioeknepsruoPfmrietorcmtagerrogoidn&ss tcSSroetecnearpftehimtereanmnretydDso.wrirfetolhrliO,nntePHhaeeraillritpoahrfma,ectnitchtaeahrssey, staffin these placesare untrained further 15percenttotheyear200(1. in thefuture. fundamental principles of the and we need to know whetherthe Greatest growth is expected in NHS, he said, was that patients patients are using their medicines Canada, FranceandJapan. should bethe responsibilityofa correctly and if adverse drug Factors working against OTC BPC: call for registered medical practitioner reactions are being reported growth include the ageing and professionals offering adequately," MrDonoghuesays. populationwhomoreoftenreceive papers alternative care should be liais"eWwiethalCsPoswtaondtevpehlaorpmapcriosttocsoltso pcrosetscarnipdttioinmedrscuaglse,ftohreipnrtorhoidbuictiinvge The 129th British Pharmaceutical carle"ignriiescftaeelrrlreyadlp"arcsaccytosiuttneitomnaewbrhl.eeIrtewtbaoysotnnhoeet torprescriptionreview,whichwould new producLs. and the industry Conference will take place in registered practitioner refers a includeprotectingthepatientfrom infrastructure which is largely Birmingham from September 7 to patientfortreatmentbyanother, unnecessarymedicationandtrying chemical-based in a society which 10. 1992.Contributionsareinvited buta "delegation"systemwhere to prevent iatrogenic illness," he increasingly looks for "natural" forthePharmacyPracticeResearch theGPasksanotherprofessional adds. Pharmacists could also remedies. session, which will be held on to provide care for which he become part ofthe practice team lowever, Euromonitorbelieves Monday, September 7 (poster remainsclinicallyaccountable. where CPs had heavy psychiatric goveIrnmentdelistingofdrugsfrom session)andTuesday.September8 Cuttingprescribing case loads; in this context thev prescription to OTC status will be (oralandpostersessions). Longerconsultationtimescancut beneficial. Brandswithadispensing The session will give the GPs' prescribing, according to heritage have, says Euromonitor, opportunitytoconveytheresultsof Edinburgh University'sprofessor Restrictions been themostsuccessful launches originalworkrelatingtoanyaspect ofgeneralpractice,John Howie. inrecentyears. Increasedcorporate (ifpharmacypractice.Theresearch In a survey of Lothian GPs he on growth andmarketingactivity,ariseinthe should have a practical relevance foundthatdoctorsseeingfewer popularity of preventative andapplicationtosocial,economic, than eight patients an hour hormone test medicines, and the above average public health orclinical aspects of cpornessuclrtiabteidondsruwghserine4a2sptehrosceenwthoof The chief medical officer Dr pmeerdifcoartmeadncsekinocfarneutwriilltiaolnsaolshelapn.d pharTmhaecyC.hemist£Druggistaward spraewscrmiobreedinth5a8npeericgehnttaofncahsoeusr. Kenneth Caiman has written to Ashifttopreventivemedicine is (asilvermedaland£200)ismadeto No-smokingcourse health authorities and key to market development as it the presenter of the oral paediatricians warning of the presentsopportunitiestomarketto communicationjudgedtobeofthe Pharmacists interested in duasnegderstoofdaenteinrsmuilninetohleorwancmeutcesht jtuhsetwthoosleelecptoipvuelasutfifoenrerrsa,thsearysthtahne bbeessttmqaunalnietry.aTnhdepJraenssesnetnedawianrdth(ea waNtoattreiknosdnhiaonlpgs somrogPkahinanirgsmeadcceesbusytaitcitaohlne growth hormone a child is report. Asthistrendevolves.OTC £100 hook token) will be made to Association and Lundbeck {C&D producing. drugswillincreasinglyformaminor the best first-time presenter of a last week p992) should contact The warning comes after the sectorofawhole newapproach to communication. A .£100 award Antonia Bettson071-602 7131. deathsoffivechildren and reports healthcare embracing natural givenbyRvharLtdwillbemadeto Right ingredients or(Ife>pse<ooremtmebneeiranr1-f7)aT.thalereaIcntdioenpse,nsdaeysnta tahlrotemeartenmaethnietvasel,tmhecdhaieracelitnheasp.palnidancefistnaesnsd, cthoentIpanrctetesnednHitnaegrzeoclfontthMreaixbbuetstetodr.psosstRheooryu.alld Lhliaassettmeodrrwhteoheiedks's(ipn9g8r3ae)rdtiiineccnloetrsrectoolnfy theIntehsitslsehttoeurl,dI)roCnlayimbaensuasyesdthaitn neeTdhedetayrpeeloifkehleyalttohccahraengpreo,duwcitths PHhiagrhmacSterueteitc.'alLSoocnideotyn. 1SLEi1mbe7tJhN PPrreeppaarraattiioonnHHcoanntdaiNnuspsehracrakinlaivle.r exceptional circumstances and more medicines required for (telephone: 071-735 9141. oil and yeast cells, while under strict supervision of problemslikearthritis,chronichut extension275or276).Theclosing Nupercainalcontainscinchocaine experiencedconsultants. stableconditionslikediabetes,and dateforsubmissionsisApril 24. hydrochloride. 998 Chemist & Druggist 21/28 DECEMBER 199 i PPA gives itself a pat on the back "Outstandingly successful" is the way the Prescription Pricing Authority's chief executive Mr A. HiltondescribestheyeartoMarch 1991, in the PPA'sannual report. Development work for the Indicative Prescribing Scheme, implemented in April 1991, wasa dominantfeaturerequiringaradical alteration to established working practices. Equallyaschallengingwasthe effortneededtoclearprescriptions in 14workingdaysorless,saidMr Hilton.Thiswasachievedlargelyas aresultofanewincentivesscheme. A target performance of 2,800 prescriptions per peak period operatordayhadbeenachieved. Theoccasionalneedtooperate Struck off for raffle theft the 100percentadvancepayment system, a source ofannoyance to pbeheanrmraecmyovceodn,trMarctHoirlst,onharseploarrtgeedl.y AstolBeitrhmeinpgrhocaemedpshaofrmaaccihsitldrwenh'os C7olmasmtiytetaerehweaasdmtoiltdt.e(d>ntwDoeccheamrbgeers aFpapkriorxsimaCtheelmyis£t4,,69J5obceelloynnginHgiltl,o At the start ofthe financial yeara hospital Christmas raffle has been oftheftandoneoffalseaccounting solicitor for the Society told the number of 100 per cent advances removedfrom the Pharmaceutical for which he received six months CommitteeinSeptemberwhenthe werenecessarybutthebacklogwas Register. imprisonment, suspended for 12 hearing was adjourned until eliminatedbySeptember 1990. David Wilson of 19 Sandmere monthsconcurrentoneach. December 17. "While it would be foolish to Grove, Yardley Wood, Between July 1986 and Mr Wilson said he started claim that the use of100percent Birmingham, whoseeightyearold September 1987 Mr Wilson stole working for Mr Wilkes in the advances has been eliminated for sonhasaholeinhisheart,stolethe approximately£5,050ofmoneyand Summer of 1986. He was paying ever, the introduction of revised £175 raffle money which should stock from J.H. Wilkes Chemist rent on a Hat and a 100 per cent working methods should ensure have gone to the heart unit ofthe Ltd.ThenbetweenAugust1, 1989 mortgage on a house. "Finances that they will not occur again for children's hospital, the Statutory and May 1, 1990 he stole werestretched.Themortgagerate operational reasonssolongasthe hadgoneupanawfullot.Itookout rsteaqtueimreenmtesnttwoitrheidnucethperesccurrirbeinntg Overwork leads Bolton adetsoirpa-bulpelmooannefyrolmenodneersofatthaehliegshs smaoind.thly timetable continues," he pharmacist to drug abuse linetaerrneesdt,o"fthheethesfatisda.ndMrrattiWeriltkheasn IntheyeartotheendofMarch sacking him reduced his salary to 1991, 363 million items were A 50 year old Bolton pharmacist twosimilarchargeswhich resulted pay for the stealing. He was given dispensed by pharmacists and who turned to amphetamines to fromhisconvictioninApril 1988for another chance, but then started appliance contractors in England relieve business pressures, is no possession of dexedrine stealingagain. (upfrom356millionin1989-90),27 longer fit to practice, the Royal amphetamine. At the hearing, he He went to work at Fakirs million by dispensing doctors (up PharmaceuticalSociety'sStatutory hadassuredtheCommitteethathis ChemistinOctober, 1987leavingin from26million)and7.5millionby Committeehasdecided. consumption had stopped and no May1988afteradisagreementbut doctorsforpersonaladministratein. Colin Porter of Somerdale furtheractionwastaken. returningasa managerin August, The total cost for the three Avenue, Heaton, Bolton admitted GivingevidenceonTuesday,Mr 1989. "I was still in financial categorieswere£2.4billion,£197m thatbetween March 10, 1988 and Portersaidpressuresbegantobuild difficulties,therewasanotherloan and£34m respectively. May 23, 1991, he possessed up when he acquired a second wewerestrugglingtopayoff.Again Analysis of prescriptions amphetamines and failed to pharmacy in Rupert Street and Istartedtomakeupmyincomeby dispensedshowedtheaveragecost maintainaproperControlledDrug begansupplyingBoumontHospital taking money from the till." tobe£6.74forpharmacists,£7.30 Register, when he appeared at with drugs. "An ever increasing Although he has not repaid Mi- fordispensingdocti>rsand£4.(54for BoltonMagistratesCourtonJuly2 workloadrequiringmetobeoncall Fakir, he hasrepaid the money to items personally administered by thisyear.Hewasfined£750onboth 24hoursaday.Iresortedtotaking thechildren'shospital. prescribing doctors. The same charges and ordered to pay £25 dexedrinetoreleasethepressure.I Committee Chairman Gary figures for the previous yearwere costs. This was his second stoppedtakingthedrugswhenthe FlatherQCtoldhim: "Westrongly £6.33, £6.81 and £4.47 conviction, leading to his second Home Office were making suspect a lot of your difficulties respectively. appearance before the Statutory inquiries." arosefromaninadequateattitudein Whentheaveragetotalcostper Committee. He then offloaded some ofhis respectofyourdebts.Someonewho prescription was compared for JocelynHill,fortheSociety,said worktorelievesomepressure,but isearningagoodwageextractsno family health services authorities the offencesactuallytookplace in then began to supply nearby sympathy for stealing, from this within regional boundaries, the the beginning of 1990, not 1989. nursing homes and he lost a Committee. highest cost was found to be in "Theoffencesrelatedtodexedrine pharmacist. "I felt unable to cope "We have here a case of Oxford (£7.41) and South West tablets taken from his two and I found myself resorting to substantial theft, almost£10,000, Thames (£7.34) while the lowest pharmacies." dexedrine." He is now in the whilstactingasamanager. Itisthe cameinNorthWestern(£6.34)and Twodrugsquad officerscalled processofsellinghisbusinessand worst category of breach of trust Merseyregions(£6.44). atoneofhispharmaciesinMaythis hopestoretirefromtheprofession that one can have. When having The PPA annual report also year at the Great Lever Health but said he wanted to retain a been forgivenonce hethanksthat shows that in the year to March Centre in Rupert Street, Bolton. semblanceofdignity. generosity by stealing again. We 1991 therewasafallinthenumber Inspection of the CD register ChairmanGaryFlatherQC,told view such acts with utter of hospital FPIO(HP) forms showedashortfallof612dexedrine him: "This Committee must at all repugnance.Thereisnoalternative dispensed from 16,287,795 in tablets. Mr Porter also admitted timestakeadispassionateview.We than to order that Mr Wilson's 1989-90 to 15,930,155. This was taking tablets from his other havetotakeintoaccountthepublic name be removed from the thefirsttimeintenyearsthatthere pharmacyatRishtonLane, Bolton. interestandthepublic'sc<>nfidence. register." wasafall inthenumberofhospital MrPorterappearedbeforethe It is hurt when pharmacists lapse MrWilsonhasthreemonthsto formsissuedfordispensing. Committee in December 1988 on intoself-abuse." appeal. Chemist & Druggist21/28 DECEMBER 1991 999 Upjohn to appeal against FHSAgets Glaxo grant Halcion withdrawal A £2.000 grant from Glaxo Pharmaceuticals is enabling Hillingdon FamilyHealthServices lIpjohnCoaretoappealagainstthe immediatelyinform memberstates encourageaco-ordinatedapproach Authority toorganisean on-going CommitteeonSafetyofMedicines' which are required to decide on a bymemberstatestoregulation. campaign to dispose ofunwanted lpartoedstuctrecliocmemnecendaftorionHaltchiaotn thhee- cWohuirlsee CofPMacPtioonpiwniitohinns 6a0redanyos.t deciTdheed toCoemxtmeintdteites rehvaiesw farlosmo mediAcdimniensisrtertautrinoendmtaonpahgaremracCiaerso.l revoked. binding on national regulatory Halcion to all short-acting Edwardstold I'd'/)thatthemoney Upjohn can request an appeal authorities, they are intended to hypnotics. will he used to pay a company to hearing before the Medicines collect and dispose of unwanted CpMerodomicmceiidnusersseisoAnecstt.abhl"yisWheedmeiuanntndesenrdthoteof Peak flow meter prescribing dyseurapurpgllsyyobacnsoianst.saiIxitnmweoornustlhfdolrayltsohorebpreoesutssiuebrdlnyetdao pursue this appeal process hy levels disappointing medicinesand posters toalert the exercising all our rights and publictothescheme. options," says Keith Krzywicki, The useol homepeak(lowmeters l)tthe44Lji sitsted. 'ink three Ms Edwards is hopingthat the mIaKnasguibsnigdidairrye.ctUorpjoofhtnheLctodm.pany's htahseyrisebneocnlaymethreeavpaeirlacebnltesinocne apcatsisveadtiona oftestthe tionhaclherecwkasthcaot- rmuonnneiyngwiclolsLcsovaenrdtthheatfGirlstaxyoeawri'lls TheMedicinesCommissionwill prescription, according to ordinated with inspiration; continue theirsupport ifit proves be asked to undertake acomplete unpublishedresearchpresentedat inspiratoryflowratedidnotexceed successful.Theschememaystartas reviewofHalcionsafetydataandto the British Thoracic Society's 70litres/min;breathwasheldfor 10 early as February next year. makerecommendationstotheUK recentWintermeeting. seconds;andthatatleast500mlwas Althoughlocalcontractorshavenot licensing authority. Since the UK Thestudyfoundthat14percent inspired. yet been sent details, the FHSA's suspensiononOctober2.boththe ofpatientsreferredtoarespiratory In aquestionnaire.95percent Pharmacy Communication EuropeanCommunity'sCommittee outpatient clinic in the 1 1 months ofthedoctorssaidtheyprescribed Committeesupportsthescheme. forProprietaryMedicinal Products after the meters were allowed on inhalers frequently and two thirds Next"ii (tie FUSA'sagendafor and the US Food and Drug FPld.hadpeakflowmeters(Pulse believed their patients could use community pharmacy are- Administration have undertaken December 14). themadequately. discussions on a scheme to use reviTehwesCofPHMalPcidoenc.idedlastweekto theAsnamaeddmietieotnianlgsftouduyndprtehsaetnotneldya7t asthImmaprhoavsebdeeCnPidmenatniafigeedmaesnatkeoyf spehnatrtmoacCyPsr.eferral cardswhich are- support thelabellingandpackaging per cent of CPs can use a factorinthefallindeathsintheUK Ms Edwardsalsoreported that changes it recommended in pressurised metered dose inhaler (PulseDecember7). Hillingdon's recently launched (IctoherwhichwouldlimitIlalcion properly and many do not give A 6.5 per cent fall in asthma- prescriptionpre-paymentcertificate tloegsihsolratt-itoenr,musteh.eAcCcoPrMdiPngtmouEsCt apadteiqeuntast.e instructions to their dreolwantewdadredatthrsenidns1i9n9ce0c1o9n88t.inuesa sprcohgermeess(iCncgSwDelAlu.gust17p269)was PSNICOUNCIL More high PR committee proposed for Northern Ireland R&D risk TheCeneral PurposesCommittee Pharmacy. Queen's University of enclose a leaflet about their of the Pharmaceutical Society of Belfast,shouldhe nominatedtoact organisationwith the nextcircular The proportion ol international Northern Ireland feels "very on the Committee on Safety of to members. Council agreed that pharmaceutical companies' strongly" that a Public Relations Medicines. The PSNI will makeits thisshouldbedone. researchanddevelopmentactivities Committee should he formed, the five-yearly visit to the School on An application by Park related to high risk projects has PSNI Council meeting heard on February20-21 next year. PharmacyLtd.'MKillyleagyStreet. increased over the last decade, November21. The Women in Pharmacy Crossgar was granted for pre accordingtotheDecemberissueof Council agreed that the CrouphadapproachedthePSNIto registration training. Centre tor Medicines Research Pharmaceutical Contractors News. Committee, Ulster Chemists ULSTER CHEMISTS' ASSOCIATK )\ Although virtually all those AHsosspoictiaaltioPnharamnadcistthse shGouuilldd boef PAST PRESIDEN1 S cinovmepsatnigiaetsing quecsatridoinoveadsculaarre atswkoedreifptrheesyenwtoautlidvelsiketotoancotmionnatea MAAirK-inmt/rklitrtriftnjr*rrr \\&a>a l'/l...AUiitTilucMtlthKrM fAiCt.T' gJ/!'JJ/Ul'r»*'tS.slSsutnuiitnHter dprruogdsu/cdtisurwehtiicchs acatndondtehveecleonptirnalg steering committee under the rErjtrrMfslmfiTitthle J- nervoussystem,manyidentifytheir cprheasiidremnatn.ship of the PSNI t$Kh/£S.tuUt/l/Olf,„Hlk,W.um't, m"»V Cjc-R£.tA.eeG..iiMeiQbctnm»ihHLiU-iHmn,iiv,~~ kbreeyaktshtrraotuegghys inasnewlotohkeirnagpeutfiocr Council noted that the Royal I.M/rn: 2 K/i.vrx.di areas,saysthereport. JLCCkk BLGmke.-Ruii, Pharmaceutical Society of Great ./ttttniu t/.G.etimptr/t Attritionratesvan.1considerably Britain was not yet inaposition to III Mum. KMJinft between companies with the permittheNorthernIrelandSociety Japanese appearing to bring a to "buy in" to its assessment higher proportion of sy—nthesised examinationhuttheRPSGBwould products to the market one in notify the Society as soon as 2.200ascompared to the UK and something definite could he put L'Smeanofone in5.000. forward. Therearealsoclearpreferences Following a confidential vote. for the US. UK and Japan, in that Mrs Dorothy Graham, a general order,whencompanieswereasked practicepharmacistworkinginthe tostatetheirchoiceoflocationfor Ballyclare district, has been co- R&D facilities. opted toCouncil. The total expenditure on The president reported that pharmaceutical Reel) in the 11 Council had received a "most major pharmaceutical-producing generous" donation of tL'OO from nationsincreasedalmostthreefold theUlsterChemistsAssociationfor from$5.4billionin 1981 to$15bm otUfhCetAhCBeoeuPnbrnaeeclvsiloiolldteaehngnettrl'edFseuddEnutvdrhe.iantnTighnPigrtso.hfeweaassnsnopuraarLlti SoCIH'feholneaBsteetrrelldrafaalCagshnhSted,emHrriiivselsiglcctiauessnrs'troeAeAfrgnseRtesdlaonycnciindycaa.ht1la9iMs7oirt1nr5so.m.waHMnSinrhlhsloeaafsHnhtiabhlwsleeaaeasPnln.hsiaoinarnssgstmetararalaclvldeleeuueddadtatoiasencsaUoptlfChreQeACsuoNipemodremreenitns'tthisetdoereIfnne'ttnhHiobelveyeatrlohstueihtt-y 6TWinh0erset1ep9Ge8cre8ot.runmtatcrnheieynest—r—eopaUfocSrctAot.uontcJtaoalnfptoairnnRoua&evnseDd.r Wan Po, directoroftheSchool of goingpresidentV'erusReaney expenditurewith theUKsixth. 1000 Chemist & Druggist 21/28 DECEMBER 1991 No help on The Which? shop security report and Christmas While a number of family health the benefit cheer servicesauthoritiesareofferingCPs help to avoid violent attacks and of hindsight Christmasisalmostoveranda thefts, similar schemes are not newyearabouttobegin.AsusualI beingextendedtopharmacies. Withheavyeditorialsinthe wasnotinvitedtotheBenn Nottinghamshire FHSA is pharmaceuticalPresslastweek BrothersChristmasbashbut offeringdiscountstoCPson safes thereseemedlittleIcouldaddto insteadhavetostayintheshop and security devices fortheircars theuniversalcryofindignation enjoyingthechallengesofthis,the afteraspateofvandalismandthefts. thatprecededthereportingon busiesttimeoftheyear! However, the Authority's radio,televisionandinthePress Icannotsaythepastyearhas Bernadette Maughan confirmed ofthelatestConsumers' beeneasywithrecessionareality thatatpresenttherewerenoplans Associationsurveyintoadvice whichhasaffectedthecounter forsimilarhelpforpharmacists. givenbycommunitypharmacists. turnoverbutwithouta The existence of —a ThatremainedsountilIwasable compensatoryfallinexpenses reimbursementschemeforCPs— tolookbackonthewholesorry which havecontinuedtheir theImprovementGrantScheme episodewiththebenefitof inexorablerise.Thenumberof enablestheFHSAtoofferthistype hindsight. localretailers,however,whohave of assistance, she said. However, Iwalkedintothepharmacythe shutpreventsmefrom because there is no comparable morningthenewsbroke complainingtoomuchbecause schemeforcommunitypharmacists expectingtheworstwithworried prescriptionshavenotfallenand thereisnomonevavailable. patientsdesertingindrovestothe withtheresultantNHSincomeas In Kirklees, the FHSA is safetyofthelocalsurgeryand thebackboneofmybusinessIam offering CPs, and their practice garageforecourt,butwhat sureIwillsurvivewhentheless staff, training on how to handle actuallyhappenedwas...nothing! fortunatehavealreadyceased difficultpatients.Thecourse,which Itwasasifthereporthadnever trading. startsinJanuary,willrununtilApril occurredandindealingwithas Fortheseandthe onanumberofhalfdays. manyconsultationsthatdayasI unemployed,timesareindeed Steve Ainsworth, director of haveeverdoneIdetectedneither hardandweshouldallsparesome service development at Kirlees condemnationnorsympathy.Asa momentsofthoughtforthoseless FHSA, told C&Dthatthe scheme professionweareverysensitiveto welloffthanourselves.Ialways had been prompted by a specific criticism,reactingdefensivelylike giveaspecialChristmaspresent attack on a doctor. The FHSA awoundedstagatbay,butwe everyyeartothesamecharity considereditwaspotentiallyalarge forgetthatpatientshavealready knowingthatmysmall problemforthemedicalprofession. confoundedthelieofthereport contributionwillmakesomeone's The Authority plans to review becausetheyknowtheyalways The public's problemsalittleeasiertobear.I thecourseandconsiderwhetherto receivereliableadvicefrom their doitbecauseIwanttoandexpect offerittootherprofessions. pharmacist.Afterall,theyhave perceptions nothanks,butwithoutsimilar On a more positive note, almostbeenbroughtupinthe giftsIknowthisseasonofgood Hillingdon FHSA has recently shopandtheirpharmacistmay of necessity cheerwouldbeapoorertimefor implemented a voluntary visiting stilltalkfondlyoftheirAuntieFlo many.Imakenoapologyfor scheme tocommunity pharmacies andGrannyEve,havingknown Itseemsthatthepublic's attackingyourconsciences looking at a number of aspects thewholefamilyforyears. perceptionof"necessity"is because,despiteourproblems,we including access for the disabled Ihavecriticisednimbyismin stronglydictatedbywhetherthey arestillbetteroffthanmost.No andhealthandsafetyatwork.This thepastbutthistimeitisprobably liveinaruralornon-ruralarea.In onewilleverknowbutIwouldlike followssimilarschemesfordoctors oursaviour.Yes,this Which? Wolverhamptonasustained tothinkthatmynaggingwill anddentists inwhich HSEleaflets reportisdamagingandwewill publiccampaignfortheopening encourage 10,000other weredistributed. havetotryharder.Yes,Istill ofapharmacyatTettenhallWood pharmacistssimilarlytohelp resentthemethodofresearch hasresultedinanappealdecision thoselessfortunatethan whichisasquestionableforwhatit infavouroftheopening(C&Dlast ourselves. Breast sensor doesn'tsayasforwhatitdoes,but weekp968)yetintheLincolnshire MeanwhileIthankallthose whenyoumultiplyallthose villageofWeltonanestimated contributorswhoallowmeto 'encouraging' patientswhowillinglyreturnto populationof4,000apparently makebattleontheirbehalfand theirlocalcommunitypharmacy, havenodesiretoavailthemselves thosewhoseblowsinreturnareas AclinicalevaluationoftheSensor havingalreadyrejectedthereport ofthatservice(G£Dp967).That goodasmyown.Itrynottotake Pad,asiliconedeviceforbreastself- asirrelevanttothembythe particularapplicationhasyettogo theprivilegeofanonymitylightly examination, isshowingpromising numberofcommunity toappealbutbeforemakingtheir butenjoytheadvantageofalarge results in a UK trial in spite of pharmacies,youhavea decisionsFHSAsshouldbe woodenspoon.Icannotseemuch criticismthatitcouldcauseanxiety maintenanceofthestatusquoand seriouslyaskingwhythereissuch economiclightattheendofthe inyoungerwomen. areportwhichprobablydoes alargeapparentdiscrepancyin 1992tunnelandexpectnextyear The device is claimed to moredamagetoouregosthanour publicopinion.Itissaidthatthe tobeashardasthisbutdespiteall enhance the sense of touch and individualreputations. healthservicemustadaptto theproblemsIenjoywhatIdo.In makelumpsfeelmorepronounced. providetheservicedesiredbythe lookingforwardtoanexciting But last week's CPquotes breast public. Iquestionwhetherthe NewYearmayIwishyouallavery expertsassayingthatyoungwomen publicreallyunderstandwhatthat happyChristmasanda using the device for the first time serviceistheretoprovide. prosperousNewYearand,as amidbealarmedbythenumbersof DaveAllensays: "MayyourGod lumpsrevealed, manyofthem too gowithyou". small to be picked up by normal fingerexamination.Oneexpertsaid Tooical this did not necessarily matter if both breasts were examined and differencesnoted. Mike Lowe, director of UK distributorsValeTrading,toldC&D thatclinicalstudiesintheUSAhad REFLECTIONS all been favourable. He was "encouraged" by the way a study was progressing at University Hospital ofSouth Manchesterand theresultswouldsoonhepublished. Chemist& Druggist 21/28 DECEMBER 1991 1001 2 , Scriptspecials new Timecef: a cephalosporin Roussel Laboratories have Heatedandcomplicatedupperand dosagesee DataSheet transaminases. As with all introducedTimecef(cefodizime),a lower urinary tract infections Contra-indications, warnings etc. cephalosporins, pseudo- broad-spectrum bactericidal including acute and chronic Knownsensitivitytocephalosporin membranous colitis may occur cephalosporin with high beta- pyelonephritis,cystitis antibiotics or lignocaine rarely lactamase activity, formulated for Dosage and administration Timecef (intramuscular injection is Pharmaceutical precautions See Data parenteral use. maybeadministered intravenously constituted with lignocaine only). Sheet for instructions for Manufacturer Roussel Laboratories or intramuscularly. Individual Discontinuetreatmentifanyallergic- reconstitution. Store the dry Ltd, Broadwater Park, North intramuscular doses should not reactionoccurs.Notadvisedduring powder vialsat room temperature Orbital Road, Denham, Uxbridge, exceed lg. Adultsandtheelderly: pregnancy and breastfeeding. below25C. Protectfromlight. Middlesex UB95III' Lowerrespiratorytract infections, Cautioninpatientsreceivingpotent SupplyrestrictionsP(IM Presentation Vials containing lg lgshouldbeadministeredevery 12 diureticsorpotentiallynephrotoxic Pack Carton of ten vials each cefodizime disodium as while to hours; urinary tract infections, 2g antibiotics containing lg cefodizime sodium yellowish-whitepowder dailyasasingled<>seor1gevery 1 Side-effects. Allergic reactions (skin (each£11.32 trade) Uses Lower respiratory tract hours.Timecefshouldnotbeused eruptions, urticaria and fever); Licencenumber PL0109 infections such as pneumonia, in children. Lower doses are nausea, vomiting and diarrhoea; IssuedDecember 1991 bronchopneumonia. Uncomp- required in renal impairment: for eosinophilia;transientelevationof Medical Matters BiCNUback in stock Sugars linked Cyclosporin metabolism pBrriosbtlolemMsyewirtshSBqiuCiNbLb'shaayvethnatowsubpepelny resolved, and the product isavailable to arthritis again through the usual distribution Researchinthisweek'sLancethas breakdown. channels. Bristol-Mvers Squibb Research carried out at Oxford indicated that the poor oral Researchers investigated PharmaceuticalsLtd. Tel: 081-572 Universitywhichstudiedthesugars biovailabilityanddruginteractions whether first pass metabolism of 7422. coating living cells in relation to ofcyclosporinmaybepartlydueto cyclosporin in thegutcould partly Epogamdistribution orpfhreouIgnmCrahatRamoAnim,ndeeac(lretDrhetraci4tie'inmssbwoeafr"sEtt1hq5he)eu.isbunobdojyex'c"st dtinhrtoueuTgsgthihentamleostfmmaaealbtslaoablnoiilnstiimems,spmto.irnbteuantits striahtreeesloeyf sacpicryncotcodoueucnchtertfshooermeitstphprPeoi4onc5ri0otpIrhaaIrllIeAaeveainl(azmwbyiahlmjiietocy,hr, wCEEifplDlao.mngaoasSwmte,baferrlmoEeampro&kSegcotaCtemoidaaLPnpthaddae.drdiimsTaatetcrlrei:iubcut0tie4cdaa9nlb4dvs antibodies are triggered to attack observationsmightalsoberelevant cyclosporin metabolites) is also 521124. o"ftohreerigann"t.ibBoydifeosc,ussinegeionngtthehesmugaars otothtehre spuobosrtroartaelsbioofavaciyltaboiclhirtyomoef founCdycilnosepntoerrioncywtaess.instilled into Migralift 1 2s go ratherthantheproteincomponent P450IIIA. includingerythromycin, the small bowel of two patients Migralift12sarenolongeravailable:the wsomfuiagsstashriernsecgevheafaairnlntoe.imdbToeh—daiicsehasc,ohgfaaatnnlhgaeaecbt,mnooorslereesmcuasullultigeita'nyrsg blmieegltnaiAobelcovtalehiidonseuegadhtnodcyioncelhsoettsrhpoeogreeixnlncsilv.ieusrs,wiivdetelhleyy edcbxyultcrorliooandshgpeopwlraeiitvrnieecrmetmmtreaeaabntsosauplbrlioeatlndeit.ssatmiiSnotnrwpiohkriaitcnanhdlg appP1surh2kroasicdrwnuhmgicaattcsfhoeeiriusMmtMbimiieggecirradanalilglsiaeftrtveesespaehlyf1aof2cuestelchtddiaantbbsnyetdceaMuaCdisdhvgtiar—osraemwJdeeetrlvhtlseeo in what is termed the "Gal Zero" researchshowedthesmallintestine most likely occured in the small formulations are identical. Charwell antibody, issufficient to make the to be a major site of cyclosporin intestine,wasfound. Pharmaceuticals.Tel:042084801. bodythinktheantibodyisforeign. The identification ofGal Zero Bronchodilators on demand means that, for the first time, scientists have a biochemical markerforRAandalthoughitcould Results from the first long-term fourdrypowderinhalatiiins(each<if treatmentinchronicbronchitis,but be years before they learn how to study comparing continuous and 400 meg salbutamol or 40mcg exacerbations, symptoms, and "mend" the molecules, the "on demand" bronchodilator ipatropiumbromide);ordrypowder qualityoflifewereunchanged. discoveryhasimportantshortterm therapy has concluded that inhalations of salbutamol or The authors caution that implications, saidthereport. bronchodilatorsshouldnotheused ipatropium bromide during patients maybeeven more misled Anantibodyassaykit hasbeen continuously. A combination of exacerbations or periods of bytheapparentwellbeingproduced developed allowing doctors to bronchodilators and inhaled dyspnoeaonly. by the newer longer-acting beta detect Gal Zero with over 90 per corticosteroidsisadvisedwhenthe Continiulusly-treated patients adrenergics, as they are more cent certainty. Using this, need forbronchodilators nn ivascs showedanannualdeclineinFLY effective in suppressingsymptoms researchers have shown that Thetwo-yearstudy, conducted thatwasthreetofourtimeshigher such as morning dyspnoea. patientswhogoon todevelop RA by researchers in the Netherlands thaninpatientstreated<>ndemand. Treatment with these should have levels of Gal Zero in their (BMJ, Dec 7), issaid tobethefirst This might be explained by therefore not be a substitute for bloodbeforesymphmisdeveli>pand study lasting long enough to bronchodilatorsfailingtoinfluence treatment with inhaled thelevelspresentareanindication establishaneffecton thedeclinein the inflammatory processes corticosteroids. offutureseverity. ventilatory function (measured as underlying the disease, leading to The study also found that Levels ot raised Gal Zero were declineinforcedexpiratoryvolume. adverseeffects. salbutamol and ipratropium alsofoundinpatientssufferingfrom FLY,).generallybelievedtobethe However this decline was not bromidehadcomparableeffectson tuberculosis and leprosy, both of most important measure of accompanied by a significant decline in ventilatory function, which arecausedby Mycobacteria progression ofasthma or chronic increaseinsymptomsoraperceived changeinbronchialresponsiveness, infections. By culturing fluid from bronchitis. poorerqualityoflife.Socontinuous respiratory symptoms, number of the kneesofRA patients,scientists Atotalof223patientsagedover bronchodilatortherapyalone may exacerbationsandqualityoflife. have detected Mycobacteria. By 30 with moderate airway mask the decline in ventilatory Yetpatientstreatedondemand using a harmless species of this obstruction due to asthma or functionandsupressthesubjective preferredsalbutamol. probablydue bacteria, avaccine against RA has chronic bronchitis were randomly need tor additional anti- to its more rapid bronchodilating been developed and although it is assigned to one of two treatment inflammatorytreatment. effectwhich isapparentwithinfive stillearlydays,oneortwopatients groups. They received either Bronchial responsiveness minutes compared with 15-30 haverespondedpositively. continuous daily treatment with increased slightly with continuous minutesforipratropium bromide. 1002 Chemist & Druggist 21/28 DECEMBER 1991 Counterpoints UK gets Peaudouce Babycall reassurance Adam Leisurehaveadded Both receiverand Step By Step theBabycallbabymonitorto transmitteraremobile. theirSafe&Soundrange. Babycallcanbemainsor Themonitorworksover batterypowered. Adams arangeof250ftandclaims LeisureGrouppic.Tel: Peaudoucearelaunching togiveclearreception(£40). 0423501151. theirStepbySteprangeof disposablenappiestoUK Unichem Cow & retailersinthesecondweek ofJanuary,followinga New Year Gate successful Frenchlaunch earlSiterepinBMyaSyt.ep—cater—ing offers babymilk forbabiesfrom8-551bs incorporatesnewanti-leak Unichemhavethreenew Cow&Gatearerationalising legcuffswhichdirectleaks promotionsfortheNew thesizesoftheirPremium totheheartofthenappy, Year. andPlusbabymilkranges. whilewaistshieldguards Inconjunctionwith Inresponsetoincreased protectagainstleaksaround SmithklineBeecham, salesofthe200mlsize,the thebaby'stummy, Anewfit pharmacistswillbeawarded 100mlsizewillbephased guideallowsforcorrect pointswhichqualifyforfree out,although itwillstillbe positioningofthenappy. giftswitheverypurchase availableinhospitals. Therangeisdesignedto fromtheBeechamcough Seniorproductmanager meettheneedsofthe andcoldtreatmentsrange. atCow&GateNickWhite growingbabyateverystage, Onordersofsixpacks saysthe200mlsizeaccounts sayPeaudouce. fromSterling'sPanadol for80percentofsalesof Therearefourvariants rangepharmacistswill theproduct.Cow&Gate —Newborn,aunisexdesign qualifyforaEuropean Ltd.Tel:0225768381. withapulpcorecutawayto competition.Tencorrect protectthenavelarea; Baby babies;andJuniorwhich heavierbutlessfrequent entrieswill receiveSealink whichcomesintwosizes; alsocomesintwosizesand wettings. Pricesareyettobe voucherseachworth More Action,designedforolder isdesignedtocopewith confirmed. £150,redeemableagainst Thenewrangewillbe traveltoover40 Unichem supportedbya£5million destinations.Twenty Roc add Christmas promotionalprogramme, runnersupwillreceive includingtelevisionand SterlingHealthtracksuits. ibuprofen treatment closures Pressadvertising, Unichemhaveteamedup sponsorshipandsampling withGilletteinapromotion Unichemareextendingtheir mascara activitydesignedtoreach62 tocoincidewiththelaunch ibuprofenrangetoinclude Thefollowingcompanies percentofnewmothers. ofnewGilletteshavefoams. packsof48and96. Rochaveaddedacream wCihlrlibsetmcalsoshionlgidfaoryst:he Aacntiavtiitoynawlilltricaolmcmaempnaciegnwiitnh OGirldleetrtseogfelsioxrdtohzeennepwacfkosamof oPuhtaerrmsacoifs4t8sscfaonr£p1u1rc.h5a2se trraenagItenmtoeefnntsceomsCamoseltcoiacursra.mtoastchaeirra ODpeaclemPbreordu2c4tsun:tiflrJoamnuary t0Phe9ea5wu2odm6oeu8nc0'e0s4UP4rK.esLst.d.Tel: w2Ui3nll2i3cre.hceemiv.eTaeflr:ee08po1l-o3s9h1irt. £(Te£2l13:..720598e1(a£-c33h.)9501a)n.2dU39n26i3sc.hfoerm. issaidtothickenand 2. lengthenlashes,aswellas APS/Berk:from 12noon protectingthemwith onDecember24until Imperial hydrolysedproteinsand January2. pantothenol. Alsoincluded Parke-DavisandWarner- Leather arecarnaubawaxanda LambertHealthcare:from cellulosederivativetoensure noonDecember24until gets longlastingcolour. January2.Theorder andTshueitambalsecfaorrasiesnsfiitbirve-efree dbeeptawretemne8natmwilalnbde1mpamnnoned sporting eyesandcontactlens December23.27and30 wearers.—Itcomesinthree (0495762468andfor addition colours brown,blackand emergenciesatothertimes). navy(£7.25). Pointofsale GlaxoPharmaceuticals: Cussonsaremovingintothe material,includingcounter fromnoonDecember24 sportstoiletriessectorwith aavnadiRlwaobiclneda.roewaclasrodsr,eliasunching e0un8mt1eil-r9gJ9ea0nncu9ya0r0iy0nq.2u.iFrioerstel; tLheeatDlheaesuringcSnhpeoodrftfIosmrpheuorswieearlafgteelr. theirJour+ activeday sport,theshowergelcomes cream,withanew JohnRichardson intwovariants. Cooling formulationtoimproveits Computers:Closed ActionSportcontains texture.Cetylphosphateis December25,26and mentholtocooltheskin, saidtogivetheproducta January 1. whileDeodorisingSport moreunctuousconsistency. TheProprietaryArticles containsIrgasan. Therelaunchedproduct TradeAssociationwillbe Theproductwillretailat (30ml£7.95)willbe closedonDecember25-27. £1.59(225ml)andCussons promotedatpointofsale Atelephoneanswering arerunningalaunchofferof togetherwiththerinse-off service(0923211647)will, 50poffnextpurchaseonall facialcleanser. however, beinoperation packsuntilJanuary. LaboratoiresRocLtd.Tel: andcallswillbemonitored CussonsLtd.Tel:061-792 0273517704. daily. 6111. Chemist* Druggist21/28 DECEMBER 1991 7 New new look, products for Pharmaton FromJanuary 1 Pharmaton willbedistributedbyWindsor Louis Marcel Healthcareratherthan L'nichem Windsor Healthcare. Tel:0344 484448. The LouisMarceldepilatory S V05onTV rangehasbeenrepacked, 5* gliovoki,ngaintdatmwooreneuwp-ptroo-ddautcets tAhlebierrtVo0C5ulhvaeirrcaarreeardavnegretiosning havebeenadded. televisionwitha£2.5million Thenewdesign,saysthe campaignthatrunsuntilthe middleofJanuarv.Alberto company, maintainsthe Culver.Tel:025657222. sptarceknaggtihnsgoafntdhetohledLouis Fishpromotion Marcel logo,withtheaimof Lanesaresupportingtheir appealingtoboth newand Lanepafishoilsupplement existingcustomers.Thenew withaPresscampaignin packsnowfeaturefull women'smagazinessuchas ingredient labellinganda PracticalHealthand Womens "Nottestedonanimals" Journal.Thecompanyhasjust statement. completedtheirfirstmailout Thetwonewproducts toover10,000pharmacists. arehairremovercream Thebrochuretakesa (100ml£2.95, 50ml£1.85), humourousapproach,looking containingcalendulaand atthebenefitsoffishoil supplements.(Distributors) vitamin E, andfacial hair ErnestJackson.Tel:0363 removercream(,£2.45),a 772251. twosteptreatment comprisingperfume-free removerandaftercare cream. SaraLee Colgate increase ad Fittydent gives staying Household& Personal Care.Tel:0753523971. spend by 42 per cent power to dentures Marigold Colgate-Palmoliveare advertisingspend indicates GeneralMedical Equipment productwillnotwashout planningtoinvest£1 ourdeterminationtodrive CohavebeenappointedUK andtherearenochemicals millioninaseriesofmajor marketgrowthandfurther suppliersofnewFittydent thatwillirritatethestomach, gloves UKadvertisingcampaigns strengthenmarket dentureadhesive. saysthecompany,andithas toughen ontheir—oralcareproducts leadershipineach Fittydentissaidto notaste. in 1992 anincreaseover segment,"saysColgate's provideasecurebond Fittydentwillbe thisyear'sspendof42per marketingmanagerfororal betweentissueanddenture, supportedbyregionaland up cent. careproducts,Andy preventingdenturedropand nationalPressadvertising. Theadvertising Weston-Webb. Colgate- sidewaysmovement. Italso General.Medical LRC Productshave programmewill includeon- PalmoliveLtd.Tel:0483 allowscleaningofdentures EquipmentCoLtd.Tel: relaunchedtheirMarigold goingsupportforColgate 302222. withoutremovingthem.The 0380870774. ExtraLifeandLightTouch toothpastes,toothbrushes, housegloves. Actibrushandtherecently Both brandshavebeen acquired Plax.Sales Insignia repackedgivingthema promotionsandpublic On TV NextWeek brighterimage.Thegloves relationswillsupportthe support arenowlongerlasting advertisingactivities. thankstoanimproved "Theoralcaresectorisa Procter&Gambleare syntheticrubbercoatingand significantgrowthareafor supportingtheirInsignia iremspirsotavnecde.puTnhcetyuraelsohave usandourextensive GBTBVorGdrearmpian CU4UlCshtaenrnel4 TTeVl-evaimsioBnreakfast Crharnigestdmuarsinpegrtihoed,pre- longercuffsforextra Mousse BSBBritishSky GGranada STY'Scotland(central! continuinguntilSpring. 0prPrer8omo1tade-iuc5ntc2ituo7snn.c2Lht3Pad7rn.i7gcT.eeesdl,:wisllavLRC shampoo CCLBrVTCoVVeaTndtCcLrhaaosalntndinnoeglnIWseleankdesndTATTSAVnWgTlSihoaaumthesWeTesltevisionTYTHTVTYSVoTrySkWnosaeuhltieThrseee&sWest dwpieatochdkTsoh2re5oarmfneltthweeiaxlntlardnbat.ebi-oAepdxeystrrassapmpiprvrlaaaiyln,nutge. for babies Actifed: AllareasexceptU campaignforInsignia Olympiawilloffer600.00(1 Andrex and kids AlkaSeltzer: HTV.CTV,TSW.LWT,TTV.TT.C4&Sky peoplea2mlaftershaveand promote to JolindaInternationalare AndrewsAntacid: Allareasexcept U.CTV.LWT GBiaamcbtolle.saTmepll:e.07Pr8o4cter& marketingababyshampoo AskitPowders: STV 434422. chemist madebyRevlon USA.Called Benylin: TV-am sector CfoarrmeulFaotrioKnidwsh,iicthistahemousse Colgate,Actibrush: Allareas Friendly companysayswillnotdrip Colgate,GreatRegularFlavour: Allareas support Andrexarepromotingtheir orspill intoababy'seyes. — toilettissuetothe Therearetwovariants CoughCaps: Allareas independent,allowing oneforbabiesandonefor Dimension: Allareas LotthouseofFleetwoodare retailerstoclaimbetween£5 children(£2.95each).The spending£500.000onanew and£20bycollectingproofs topofbothpackshasa HallsMentholyptus: Allareas campaignforFisherman's opfacpkusr.chasefromtworoll safeTtyhelotckr.adepriceforan OralBPlaqueRemover: Allareas tFhreieNnedwloYzeeanrg.es,startingin Forconsumerstherewill outeris£21.12withthe Pure&Simple: TV-am Advertisementswill boeno1f,f0e0r0inAnadcroemxpettoiytipounp.pies firneteropdruoctdourcyt'poeffredroozfeonne SevenSeasPureCodLiverOil: Allareas baapspeedaroinntthheetnhaetimoena"lNePrveesrs, Claimsforthecashbonus ordered. SlimFast: Allareas underestimatethepowerof c31anabnedmtahedecounntsiulmJearnuary adveCratrieseFdoirnKtihdespwairlelnbtael Solpadeine: C.A.TVS.TTV acaFmipsahiegrnmawni'llsrFurnieunntdil".The competitionclosesMarch Pressfrom February. SureforWomen: AllareasexceptCTV.STV,TVS.TY-am February 14. Lofthouseof 3312.7S1c9o1t.tLtd.Tel:0342 J0o9l2i3nd8a2I8n7t6er2n.ational.Tel: Wrigley'sExtra&Orbit: G.A.HTV.TSW.TVS&LWT 8Fl7e2e4t3w5o.od. Tel:0253 1004 Chemist & Druggist 21/28 DECEMBER 1991

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